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General NPI Number Information
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NPI Number | 1295886836
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Entity Type | Individual
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Provider Name | GERHARD WILLIAM HETTLER III M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 910 FREMONT ST
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City | STEVENS POINT
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State | WI
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Zip | 54481-3105
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Country | US
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Telephone | 715-346-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 910 FREMONT ST
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City | STEVENS POINT
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State | WI
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Zip | 54481-3105
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Country | US
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Telephone |
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 18157-020
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License Number State | WI
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