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General NPI Number Information
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NPI Number | 1497563910
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Entity Type | Individual
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Provider Name | MARGARET WAGNEROWSKI MSN, APNP, CNS-BC
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Gender | Female
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 3219 HORTON ST
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City | HOLMEN
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State | WI
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Zip | 54636-5601
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Country | US
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Telephone | 813-352-5373
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Fax |
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Provider Business Mailing Address
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Address Line | 615 10TH ST S
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City | LA CROSSE
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State | WI
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Zip | 54601-4768
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Country | US
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Telephone | 608-392-4498
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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 | 364SX0200X
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Taxonomy Name | Oncology Clinical Nurse Specialist
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License Number | 11833-33
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License Number State | WI
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