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General NPI Number Information
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NPI Number | 1538940937
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Entity Type | Individual
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Provider Name | BETHANIE JOY OEHLHOF CFNC
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Gender | Female
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Dates
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Enumeration Date | 10/11/2023
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 82 COULEE RD STE 105
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City | HUDSON
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State | WI
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Zip | 54016-1955
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Country | US
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Telephone | 612-470-4535
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 204
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City | ROBERTS
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State | WI
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Zip | 54023-0204
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Country | US
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Telephone | 608-617-4463
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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