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General NPI Number Information
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NPI Number | 1972695278
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3209 DRYDEN DR
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City | MADISON
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State | WI
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Zip | 53704-3015
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Country | US
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Telephone | 608-241-9638
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Fax | 608-241-0857
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Provider Business Mailing Address
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Address Line | 600 HIGHLAND AVE PHARMACY F6/133
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City | MADISON
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State | WI
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Zip | 53792-1530
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Country | US
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Telephone | 608-263-1290
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Fax | 608-263-9424
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Authorized Official
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Title or Position | CEO
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Name | ALAN KAPLAN
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Credential | MD
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Telephone | 608-263-7013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 8035
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License Number State | WI
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