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General NPI Number Information
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NPI Number | 1275135295
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Entity Type | Individual
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Provider Name | ELIZABETH CONRATH DPT
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Gender | Female
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Dates
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Enumeration Date | 11/13/2020
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 409 E SILVER SPRING DR
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City | WHITEFISH BAY
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State | WI
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Zip | 53217-5226
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Country | US
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Telephone | 414-888-4212
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Fax | 844-640-0720
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Provider Business Mailing Address
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Address Line | 409 E SILVER SPRING DR
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City | WHITEFISH BAY
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State | WI
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Zip | 53217-5226
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Country | US
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Telephone | 414-888-4212
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Fax | 844-640-0720
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 12096
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License Number State | WI
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