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General NPI Number Information
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NPI Number | 1447776984
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Entity Type | Individual
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Provider Name | JON-PAUL WILLIAM CISZEWSKI PA
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Gender | Male
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 3802 OAKWOOD MALL DR
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City | EAU CLAIRE
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State | WI
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Zip | 54701-3016
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Country | US
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Telephone | 715-839-9280
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Fax | 715-831-0052
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Provider Business Mailing Address
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Address Line | 2403 FOLSOM ST
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City | EAU CLAIRE
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State | WI
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Zip | 54703-2435
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 4221
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License Number State | WI
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