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General NPI Number Information
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NPI Number | 1508730466
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Entity Type | Organization
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Legal Business Name | MENOPAUSE AND MIDLIFE ('MA'AM') CLINIC, SC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 7800 DISCOVERY DR STE 300
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City | MIDDLETON
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State | WI
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Zip | 53562-5501
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Country | US
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Telephone | 608-291-4531
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Fax | 608-927-0308
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Provider Business Mailing Address
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Address Line | 7800 DISCOVERY DR STE 300
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City | MIDDLETON
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State | WI
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Zip | 53562-5501
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Country | US
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Telephone | 608-291-4531
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Fax | 608-927-0308
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Authorized Official
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Title or Position | MEDICAL DIRECTOR, PRESIDENT, & FOUN
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Name | CHRISTINE KOLEHMAINEN
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Credential | MD
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Telephone | 608-291-4531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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