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General NPI Number Information
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NPI Number | 1154634459
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Entity Type | Individual
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Provider Name | RACHEL ROMENESKO OD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 250 1ST ST
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City | NEENAH
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State | WI
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Zip | 54956-2702
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Country | US
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Telephone | 920-722-2844
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Fax |
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Provider Business Mailing Address
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Address Line | W727 RIVER BEND DR
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City | KAUKAUNA
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State | WI
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Zip | 54130-9666
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Country | US
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Telephone | 414-803-2544
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 318235
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License Number State | WI
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