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General NPI Number Information
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NPI Number | 1093148512
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Entity Type | Individual
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Provider Name | STEPHANIE K MUNDT APNP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | MARSHFIELD CLINIC WESTON CENTER 3400 MINISTRY PKWY
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City | WESTON
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State | WI
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Zip | 54476-5213
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Country | US
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Telephone | 715-393-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 5412 US HIGHWAY 10 E
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City | STEVENS POINT
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State | WI
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Zip | 54482-8559
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Country | US
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Telephone | 715-346-5243
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Fax | 715-346-5419
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5373
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5373
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License Number State | WI
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