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General NPI Number Information
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NPI Number | 1295063485
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Entity Type | Individual
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Provider Name | KURT D MICHELKAMP RN
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Gender | Male
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Dates
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Enumeration Date | 11/25/2009
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Last Update Date | 11/25/2009
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Provider Practice Location Address
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Address Line | 7948 COUNTY ROAD A
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City | ALMOND
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State | WI
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Zip | 54909-9556
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Country | US
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Telephone | 715-366-8277
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Fax |
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Provider Business Mailing Address
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Address Line | 3727 NORTH POINT DR
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City | STEVENS POINT
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State | WI
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Zip | 54481-1233
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Country | US
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Telephone | 715-341-6970
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 146810-030
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License Number State | WI
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