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General NPI Number Information
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NPI Number | 1093194599
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Entity Type | Individual
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Provider Name | DANA R KATCHKA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/29/2015
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 300 MAIN ST W
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City | ASHLAND
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State | WI
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Zip | 54806-1639
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Country | US
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Telephone | 715-685-2200
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Fax | 715-685-1185
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Provider Business Mailing Address
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Address Line | 15735 W US HIGHWAY 63
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City | HAYWARD
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State | WI
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Zip | 54843-6475
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Country | US
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Telephone | 715-685-2200
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Fax | 715-934-5554
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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 | 7386
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License Number State | WI
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