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General NPI Number Information
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NPI Number | 1528372174
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Entity Type | Individual
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Provider Name | KARIE MEEKS RN
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Gender | Female
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Dates
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Enumeration Date | 08/05/2010
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Last Update Date | 08/05/2010
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Provider Practice Location Address
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Address Line | N3090 SCHACHT RD
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City | PESHTIGO
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State | WI
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Zip | 54157-9605
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Country | US
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Telephone | 715-938-2602
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Fax |
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Provider Business Mailing Address
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Address Line | N7315 CTY RD B
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City | COLEMAN
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State | WI
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Zip | 54112
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Country | US
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Telephone | 715-938-2602
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 157729-030
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License Number State | WI
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