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General NPI Number Information
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NPI Number | 1588407852
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Entity Type | Individual
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Provider Name | KALEY RAE REINKE AU.D.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 512 S 28TH AVE
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City | WAUSAU
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State | WI
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Zip | 54401-4147
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Country | US
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Telephone | 715-847-2021
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Fax |
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Provider Business Mailing Address
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Address Line | 708 17TH ST
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City | MOSINEE
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State | WI
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Zip | 54455-1033
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Country | US
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Telephone | 715-574-6051
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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