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General NPI Number Information
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NPI Number | 1649445370
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Entity Type | Individual
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Provider Name | CHRISTINA DIANE HAHNFELD-JORDAN RN
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Gender | Female
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | S10136 BEAR VALLEY RD
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City | LONE ROCK
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State | WI
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Zip | 53556-9601
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Country | US
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Telephone | 608-583-2368
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Fax |
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Provider Business Mailing Address
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Address Line | S10136 BEAR VALLEY RD
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City | LONE ROCK
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State | WI
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Zip | 53556-9601
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Country | US
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Telephone | 608-583-2368
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 71051-30
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License Number State | WI
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