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General NPI Number Information
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NPI Number | 1336360411
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Entity Type | Individual
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Provider Name | PATSY A KAISER MT-BC, WMTR
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1125 JAMES DR
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City | HARTLAND
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State | WI
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Zip | 53029-8310
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Country | US
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Telephone | 262-367-6663
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Fax |
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Provider Business Mailing Address
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Address Line | 1239 S 71ST ST
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City | WEST ALLIS
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State | WI
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Zip | 53214-3111
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Country | US
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Telephone | 414-476-5898
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 65-038
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License Number State | WI
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