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General NPI Number Information
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NPI Number | 1043253735
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Entity Type | Individual
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Provider Name | KAREN C KRENZKE MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | WAPITI MEDICAL GROUP 7012 MAPLE CREEK
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City | LAKE NEBAGAMON
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State | WI
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Zip | 54849
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Country | US
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Telephone | 715-374-3602
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Fax | 715-374-2677
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Provider Business Mailing Address
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Address Line | 107 FLYNN DR 600
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City | MILBANK
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State | SD
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Zip | 57252-1557
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Country | US
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Telephone | 605-432-6621
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Fax | 605-432-5669
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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 | 30434-020
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License Number State | WI
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