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General NPI Number Information
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NPI Number | 1629284021
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Entity Type | Individual
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Provider Name | KARL W DROESE MD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | W229S9180 CLARK ST
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City | BIG BEND
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State | WI
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Zip | 53103-9528
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Country | US
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Telephone | 262-662-5002
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Fax |
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Provider Business Mailing Address
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Address Line | S99W24280 FOREST HOME AVE
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City | BIG BEND
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State | WI
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Zip | 53103-9540
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Country | US
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Telephone | 262-662-5318
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 48925-020
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License Number State | WI
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