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General NPI Number Information
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NPI Number | 1932514890
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Entity Type | Organization
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Legal Business Name | VHA MILWAUKEE
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 5000 W NATIONAL AVE
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City | MILWAUKEE
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State | WI
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Zip | 53295-0001
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Country | US
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Telephone | 414-384-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 W NATIONAL AVE
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City | MILWAUKEE
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State | WI
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Zip | 53295-0001
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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 | VALOR RN
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Name | MR. ALEC M DISHAW
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Credential |
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Telephone | 262-470-4228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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