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General NPI Number Information
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NPI Number | 1609898717
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Entity Type | Individual
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Provider Name | JENNIFER A JESCHKE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 805 ELM ST
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City | LAKE MILLS
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State | WI
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Zip | 53551-1127
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Country | US
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Telephone | 920-648-2400
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Fax | 920-648-2444
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Provider Business Mailing Address
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Address Line | 805 ELM ST
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City | LAKE MILLS
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State | WI
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Zip | 53551-1127
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Country | US
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Telephone | 920-648-2400
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Fax | 920-648-2444
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10198-24
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 10198024
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 10198024
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 10198024
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10198024
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License Number State | WI
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