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General NPI Number Information
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NPI Number | 1528681756
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Entity Type | Individual
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Provider Name | JUNEAU CLAIRE MCFADZEN ATC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 8700 WATERTOWN PLANK RD
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City | WAUWATOSA
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State | WI
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Zip | 53226-3595
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Country | US
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Telephone | 414-963-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 8700 WATERTOWN PLANK RD
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City | WAUWATOSA
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State | WI
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Zip | 53226-3595
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2304-39
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License Number State | WI
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