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General NPI Number Information
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NPI Number | 1003072687
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Entity Type | Individual
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Provider Name | ROBERT WILLIAM SEDLACEK M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 710 RIVERSIDE DR
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City | WAUPACA
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State | WI
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Zip | 54981-1941
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Country | US
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Telephone | 715-256-3000
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Fax | 715-256-3028
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Provider Business Mailing Address
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Address Line | 3 NEENAH CENTER 101 N COMMERCIAL ST
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City | NEENAH
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State | WI
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Zip | 54956-3070
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Country | US
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Telephone | 920-454-4082
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Fax | 920-830-5910
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 125.054488
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 56001-020
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036.126371
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License Number State | IL
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