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General NPI Number Information
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NPI Number | 1467471789
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Entity Type | Individual
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Provider Name | DENNIS D. RASMUSSEN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 3901 MERIDIAN CIR
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City | VERONA
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State | WI
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Zip | 53593-8656
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Country | US
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Telephone | 608-826-0424
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 MERIDIAN CIR
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City | VERONA
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State | WI
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Zip | 53593-8656
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Country | US
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Telephone | 608-826-0424
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0636
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License Number State | WI
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