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General NPI Number Information
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NPI Number | 1093684227
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Entity Type | Individual
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Provider Name | TORI ANN HAFFNER
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Gender | Female
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1530 N RANDALL RD
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City | ELGIN
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State | IL
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Zip | 60123-7877
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Country | US
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Telephone | 224-760-7322
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Fax |
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Provider Business Mailing Address
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Address Line | 3140 BENNETT CT
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City | OSHKOSH
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State | WI
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Zip | 54904-6949
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Country | US
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Telephone | 651-356-2602
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 17594-33
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License Number State | WI
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