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General NPI Number Information
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NPI Number | 1881764652
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Entity Type | Organization
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Legal Business Name | NEUROWISCONSIN SC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 3033 S 27TH ST 302
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City | MILWAUKEE
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State | WI
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Zip | 53215
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Country | US
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Telephone | 414-649-0650
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Fax | 414-649-0834
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Provider Business Mailing Address
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Address Line | 3033 S 27TH ST 302
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City | MILWAUKEE
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State | WI
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Zip | 53215
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Country | US
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Telephone | 414-649-0650
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Fax | 414-649-0834
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Authorized Official
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Title or Position | NEUROLOGIST PRESIDENT CORPORATION
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Name | MR. JAMES C BARTON JR.
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Credential | MD
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Telephone | 414-649-0650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 20588
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License Number State | WI
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