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General NPI Number Information
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NPI Number | 1588950018
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Entity Type | Individual
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Provider Name | ISABELLE ANNE FLORENCE AMIGUES MD
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Gender | Female
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 3263 EATON RD
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City | GREEN BAY
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State | WI
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Zip | 54311-6830
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Country | US
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Telephone | 920-433-6700
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Fax | 920-433-6719
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Provider Business Mailing Address
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Address Line | PO BOX 22487
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City | GREEN BAY
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State | WI
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Zip | 54305-2487
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Country | US
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Telephone | 920-445-7210
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Fax | 920-445-7289
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 81030-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 75082
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 4301508255
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 58173
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License Number State | CO
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