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General NPI Number Information
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NPI Number | 1386617447
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Entity Type | Individual
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Provider Name | JILL P WOHLFEIL MD
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Gender | Female
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | W359N5002 BROWN ST SUITE 208
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City | OCONOMOWOC
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State | WI
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Zip | 53066-3366
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Country | US
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Telephone | 262-560-1920
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Fax | 262-567-4736
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Provider Business Mailing Address
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Address Line | 4555 W SCHROEDER DR SUITE 170
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City | MILWAUKEE
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State | WI
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Zip | 53223-1496
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Country | US
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Telephone | 414-365-3210
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Fax | 414-365-3225
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 34188-20
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License Number State | WI
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