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General NPI Number Information
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NPI Number | 1396900338
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Entity Type | Individual
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Provider Name | CHRISTINE M TRAUTMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 2000 N DEWEY AVE
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City | REEDSBURG
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State | WI
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Zip | 53959-1049
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Country | US
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Telephone | 903-416-6070
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 N DEWEY AVE
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City | REEDSBURG
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State | WI
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Zip | 53959-1049
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Country | US
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Telephone | 903-416-6070
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 54496-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | S3763
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License Number State | TX
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