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General NPI Number Information
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NPI Number | 1043600745
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Entity Type | Individual
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Provider Name | JILL BOHN APNP, FNP-BC, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 327 N 17TH AVE STE 7
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City | WAUSAU
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State | WI
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Zip | 54401-4283
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Country | US
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Telephone | 715-842-7707
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Fax | 715-842-9890
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Provider Business Mailing Address
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Address Line | 1732 W 19TH AVE
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City | ARKDALE
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State | WI
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Zip | 54613-9502
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Country | US
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Telephone | 715-540-0183
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Fax | 715-842-9890
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 6136-33
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License Number State | WI
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