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General NPI Number Information
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NPI Number | 1235672239
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Entity Type | Organization
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Legal Business Name | PAUL B DOENIER MD, SC
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Dates
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Enumeration Date | 11/22/2016
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 1111 DELAFIELD ST STE 300
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City | WAUKESHA
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State | WI
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Zip | 53188-3407
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Country | US
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Telephone | 262-446-0955
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Fax | 262-446-0055
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Provider Business Mailing Address
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Address Line | 1111 DELAFIELD ST STE 300
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City | WAUKESHA
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State | WI
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Zip | 53188-3407
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Country | US
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Telephone | 262-446-0955
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Fax | 262-446-0055
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL B DOENIER
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Credential | M.D.
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Telephone | 262-446-0955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 49232
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License Number State | WI
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