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General NPI Number Information
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NPI Number | 1558307744
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Entity Type | Individual
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Provider Name | ANNA R. HUPPLER M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 999 N 92ND ST SUITE C450
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City | WAUWATOSA
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State | WI
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Zip | 53226-4875
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Country | US
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Telephone | 414-337-7070
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Fax | 414-337-7093
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Provider Business Mailing Address
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Address Line | 1105 GLENVIEW AVE
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City | WAUWATOSA
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State | WI
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Zip | 53213-3011
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Country | US
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Telephone | 608-354-2537
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD437007
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | 51358-20
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License Number State | WI
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