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General NPI Number Information
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NPI Number | 1598808073
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Entity Type | Organization
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Legal Business Name | KAREN B HIMMEL MD SC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | W3959 PANSKE RD
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City | PORTERFIELD
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State | WI
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Zip | 54159-9616
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Country | US
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Telephone | 715-732-4463
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Fax | 715-735-9334
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Provider Business Mailing Address
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Address Line | W3959 PANSKE RD
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City | PORTERFIELD
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State | WI
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Zip | 54159-9616
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Country | US
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Telephone | 715-732-4463
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Fax | 715-735-9334
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KAREN B HIMMEL
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Credential | M.D.
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Telephone | 715-732-4463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34414
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License Number State | WI
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