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General NPI Number Information
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NPI Number | 1982235693
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Entity Type | Organization
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Legal Business Name | CONFLUENCE HEALTHCARE, S.C.
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Dates
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Enumeration Date | 01/31/2020
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 431 E CLAIREMONT AVE STE D
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6480
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Country | US
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Telephone | 715-828-9060
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Fax | 715-514-2467
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Provider Business Mailing Address
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Address Line | 431 E CLAIREMONT AVE STE D
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6480
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Country | US
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Telephone | 715-828-9060
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Fax | 715-514-2467
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Authorized Official
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Title or Position | OWNER
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Name | JULIA KYLE
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Credential | MD
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Telephone | 715-828-9060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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