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General NPI Number Information
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NPI Number | 1427054543
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Entity Type | Individual
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Provider Name | ERIN LEE KRUEGER AU.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 855 N WESTHAVEN DR STE 200
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City | OSHKOSH
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State | WI
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Zip | 54904-7668
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Country | US
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Telephone | 920-303-4130
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Fax | 920-303-4148
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Provider Business Mailing Address
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Address Line | 130 2ND ST SUITE 198
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City | NEENAH
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State | WI
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Zip | 54956-2883
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Country | US
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Telephone | 920-729-2085
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Fax | 920-303-4148
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 408156
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 408156
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License Number State | WI
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