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General NPI Number Information
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NPI Number | 1407986987
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Entity Type | Individual
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Provider Name | PAMELA J KEXEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 9000 W WISCONSIN AVE PEDIATRIC NEUROLOGY
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City | MILWAUKEE
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State | WI
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Zip | 53226-4874
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Country | US
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Telephone | 414-266-3464
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Fax | 414-266-3466
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Provider Business Mailing Address
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Address Line | 9000 W WISCONSIN AVE PEDIATRIC NEUROLOGY
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City | MILWAUKEE
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State | WI
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Zip | 53226-4874
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Country | US
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Telephone | 414-266-3464
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Fax | 414-266-3466
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2052
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License Number State | WI
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