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General NPI Number Information
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NPI Number | 1265318786
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Entity Type | Individual
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Provider Name | JORDAN MARGARET DAHLHAUSER
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 700 S PARK ST STE A
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City | MADISON
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State | WI
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Zip | 53715-1830
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Country | US
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Telephone | 608-260-2900
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Fax | 608-260-3444
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Provider Business Mailing Address
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Address Line | 4203 SUNSET RDG
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City | COTTAGE GROVE
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State | WI
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Zip | 53527-9664
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Country | US
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Telephone | 608-772-7869
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 8508-23
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License Number State | WI
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