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General NPI Number Information
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NPI Number | 1548357494
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Entity Type | Individual
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Provider Name | KAREN IRENE BLOCK CRT
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11649 N PORT WASHINGTON RD #109
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City | MEQUON
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State | WI
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Zip | 53092
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Country | US
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Telephone | 262-241-8022
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Fax | 267-241-8047
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Provider Business Mailing Address
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Address Line | W51 N214 FILLMORE CIRCLE
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City | CEDARBURG
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State | WI
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Zip | 53012
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Country | US
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Telephone | 262-375-0710
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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 | 2279S1500X
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Taxonomy Name | SNF/Subacute Care Registered Respiratory Therapist
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License Number | 1539 028
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License Number State | WI
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