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General NPI Number Information
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NPI Number | 1538202262
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Entity Type | Individual
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Provider Name | PAMELA CHARLENE PRINCE N.P.
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 01/29/2014
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Provider Practice Location Address
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Address Line | 949 N 9TH ST HEALTH SERVICES UNIT
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City | MILWAUKEE
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State | WI
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Zip | 53233-1422
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Country | US
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Telephone | 414-226-7136
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Fax | 414-226-7159
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Provider Business Mailing Address
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Address Line | 4059 N 23RD ST
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City | MILWAUKEE
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State | WI
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Zip | 53209-6601
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Country | US
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Telephone | 414-445-7071
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 72997-030
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License Number State | WI
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