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NPI 1164401204

NPI 1164401204 : PAULET J. VOIGT D.P.M. : JACKSON, WI

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General NPI Number Information
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    NPI Number           |    1164401204
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    Entity Type          |    Individual 
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    Provider Name        |    PAULET J. VOIGT D.P.M.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/16/2006
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    Last Update Date     |    05/18/2016
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Provider Practice Location Address
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    Address Line         |    W194N16747 EAGLE DR STE L
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    City                 |    JACKSON
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    State                |    WI
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    Zip                  |    53037-9797
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    Country              |    US
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    Telephone            |    262-677-1520
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    Fax                  |    262-677-1521
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Provider Business Mailing Address
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    Address Line         |    PO BOX 180680 
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    City                 |    DELAFIELD
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    State                |    WI
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    Zip                  |    53018-0680
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    Country              |    US
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    Telephone            |    262-646-6280
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    Fax                  |    262-646-6284
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    769-025
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    License Number State |    WI
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