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General NPI Number Information
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NPI Number | 1184675787
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Entity Type | Individual
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Provider Name | JENNIFER TWENTE MD
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 2524 E. WEBSTER PLACE SUITE 301
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City | MILWAUKEE
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State | WI
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Zip | 53211
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Country | US
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Telephone | 414-272-7009
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Fax |
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Provider Business Mailing Address
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Address Line | 5760 N SHORELAND AVE
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City | WHITEFISH BAY
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State | WI
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Zip | 53217-4730
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Country | US
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Telephone | 414-837-5635
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 50201-020
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License Number State | WI
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