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General NPI Number Information
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NPI Number | 1871815282
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Entity Type | Organization
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Legal Business Name | AURORA HEALTH CARE SOUTHERN LAKES, INC.
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Dates
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Enumeration Date | 02/26/2010
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 36500 AURORA DR
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City | SUMMIT
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State | WI
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Zip | 53066-4899
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Country | US
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Telephone | 262-434-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 36500 AURORA DR
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City | OCONOMOWOC
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State | WI
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Zip | 53066-4899
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Country | US
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Telephone | 262-434-1000
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Fax |
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Authorized Official
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Title or Position | ASSISTANT TREASURER
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Name | KARA RICHARDSON
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Credential |
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Telephone | 704-631-0450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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