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General NPI Number Information
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NPI Number | 1114610706
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Entity Type | Individual
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Provider Name | MICHAELA JAMES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 100 COUNTY ROAD B
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City | SHAWANO
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State | WI
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Zip | 54166-7072
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Country | US
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Telephone | 715-526-2111
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Fax |
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Provider Business Mailing Address
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Address Line | THEDACARE SHAWANO 100 COUNTY ROAD B
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City | SHAWANO
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State | WI
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Zip | 54166
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Country | US
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Telephone | 715-524-2161
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 14015-33
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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 | 14015
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License Number State | WI
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