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General NPI Number Information
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NPI Number | 1912797895
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Entity Type | Organization
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Legal Business Name | WAUSAU HEALTH OPCO LLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1010 E WAUSAU AVE
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City | WAUSAU
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State | WI
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Zip | 54403-3101
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Country | US
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Telephone | 715-842-2028
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Fax |
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Provider Business Mailing Address
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Address Line | 7300 W DEAN RD APT 201W
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City | MILWAUKEE
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State | WI
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Zip | 53223-2681
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HERSHEY BERNATH
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Credential |
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Telephone | 646-483-3497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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