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General NPI Number Information
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NPI Number | 1124241823
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Entity Type | Individual
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Provider Name | DOROTHY A KOENIG APNP
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8885 S 68TH ST
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City | FRANKLIN
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State | WI
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Zip | 53132-8202
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Country | US
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Telephone | 414-427-4706
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Fax |
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Provider Business Mailing Address
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Address Line | S67W14976 KOSO DR
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City | MUSKEGO
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State | WI
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Zip | 53150-8322
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Country | US
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Telephone |
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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 | 1372-033
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License Number State | WI
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