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General NPI Number Information
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NPI Number | 1427003383
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Entity Type | Individual
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Provider Name | JOANNE M RUMMELHART DDS
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 01/24/2008
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Provider Practice Location Address
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Address Line | 7017 OLD SAUK RD
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City | MADISON
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State | WI
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Zip | 53717
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Country | US
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Telephone | 608-833-1889
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Fax | 608-662-7414
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Provider Business Mailing Address
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Address Line | 2971 CHAPEL VALLEY RD SUITE 100
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City | MADISON
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State | WI
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Zip | 53711
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Country | US
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Telephone | 608-661-6400
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Fax | 608-661-6414
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 3628
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 3628-015
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License Number State | WI
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