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General NPI Number Information
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NPI Number | 1932236726
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Entity Type | Organization
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Legal Business Name | STUDENT HEALTH SERVICE
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 545 N 15TH ST MARQUETTE UNIVERSITY
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City | MILWAUKEE
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State | WI
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Zip | 53201-1881
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Country | US
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Telephone | 414-288-7184
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Fax | 414-288-5732
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Provider Business Mailing Address
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Address Line | 545 N 15TH ST MARQUETTE UNIVERSITY
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City | MILWAUKEE
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State | WI
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Zip | 53201-1881
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Country | US
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Telephone | 414-288-7184
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Fax | 414-288-5732
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. DANA M. MILLS
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Credential | MPH
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Telephone | 414-288-5745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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