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NPI 1992713531

NPI 1992713531 : CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. : MILWAUKEE, WI

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General NPI Number Information
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    NPI Number           |    1992713531
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHILDREN'S HOSPITAL AND HEALTH SYSTEM, INC. 
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Dates
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    Enumeration Date     |    08/03/2006
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    Last Update Date     |    03/29/2016
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Provider Practice Location Address
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    Address Line         |    9000 W WISCONSIN AVE 
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53226-3518
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    Country              |    US
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    Telephone            |    414-266-6400
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    Fax                  |    414-266-6409
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1997 
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53201-1997
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    Country              |    US
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    Telephone            |    414-266-6400
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    Fax                  |    414-266-6409
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Authorized Official
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    Title or Position    |    CORPORATE VP AND CFO
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    Name                 |    MR. MARC  CADIEUX 
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    Credential           |    
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    Telephone            |    414-266-6226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM2500X
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    Taxonomy Name        |    Medical Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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