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General NPI Number Information
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NPI Number | 1982348124
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Entity Type | Organization
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Legal Business Name | AURORA HEALTH CARE CENTRAL, INC.
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 3400 UNION AVE STE 1C1006
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City | SHEBOYGAN
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State | WI
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Zip | 53081-8426
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Country | US
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Telephone | 920-802-1630
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Fax | 920-802-1635
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Provider Business Mailing Address
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Address Line | 3400 UNION AVE STE 1C1006
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City | SHEBOYGAN
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State | WI
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Zip | 53081-8426
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Country | US
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Telephone | 920-802-1630
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Fax | 920-802-1635
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Authorized Official
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Title or Position | EVP FINANCIAL OPERATIONS
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Name | NAN NELSON
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Credential |
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Telephone | 414-299-1610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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