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General NPI Number Information
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NPI Number | 1154491546
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Entity Type | Individual
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Provider Name | JEAN JOANN PEKOZ-HUEBNER P.T.
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2448 S 102ND ST
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City | MILWAUKEE
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State | WI
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Zip | 53227-2466
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Country | US
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Telephone | 414-329-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 3526 W RAWSON AVE
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City | FRANKLIN
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State | WI
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Zip | 53132-8367
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Country | US
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Telephone | 414-423-6285
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 722-024
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License Number State | WI
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