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General NPI Number Information
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NPI Number | 1356515134
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Entity Type | Organization
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Legal Business Name | ANNE MAEDKE, DC DABCI
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 715 E LOCUST ST
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City | MILWAUKEE
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State | WI
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Zip | 53212-2546
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Country | US
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Telephone | 414-263-7066
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Fax | 414-263-2688
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Provider Business Mailing Address
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Address Line | 715 E LOCUST ST
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City | MILWAUKEE
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State | WI
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Zip | 53212-2546
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Country | US
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Telephone | 414-263-7066
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Fax | 414-263-2688
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ANNE K MAEDKE
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Credential | DC DABCI
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Telephone | 414-263-7066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | 1823-012
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4119-012
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License Number State | WI
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