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General NPI Number Information
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NPI Number | 1285826313
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Entity Type | Organization
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Legal Business Name | HIGH POINT FAMILY MEDICINE, LLC
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 1525 LAFOLLETTE ST
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City | FENNIMORE
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State | WI
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Zip | 53809
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Country | US
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Telephone | 608-822-3363
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Fax | 866-560-8783
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Provider Business Mailing Address
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Address Line | 1525 LAFOLLETTE ST
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City | FENNIMORE
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State | WI
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Zip | 53809
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Country | US
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Telephone | 608-822-3363
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Fax | 866-560-8783
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC E STADER
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Credential | M.D.
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Telephone | 608-723-3100
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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 |
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License Number State |
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