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General NPI Number Information
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NPI Number | 1033300207
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Entity Type | Individual
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Provider Name | MICHAEL J CULOTTI
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 8320 W BLUEMOUND RD
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City | WAUWATOSA
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State | WI
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Zip | 53213-3367
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Country | US
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Telephone | 414-302-3800
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Fax |
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Provider Business Mailing Address
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Address Line | W249S6680 CENTER RD
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City | WAUKESHA
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State | WI
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Zip | 53189-9337
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Country | US
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Telephone | 262-662-1060
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 304-122
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 291-055
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License Number State | WI
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