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General NPI Number Information
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NPI Number | 1154810927
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Entity Type | Individual
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Provider Name | CARLEE STEINHAUS
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Gender | Female
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 2000 OBSERVATORY DR
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City | MADISON
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State | WI
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Zip | 53706-1121
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Country | US
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Telephone | 608-262-3742
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Fax |
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Provider Business Mailing Address
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Address Line | N9074 CORNING RD
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City | PORTAGE
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State | WI
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Zip | 53901-9469
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Country | US
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Telephone | 608-697-5752
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | S3521019560208
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License Number State | WI
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