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General NPI Number Information
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NPI Number | 1649713959
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Entity Type | Individual
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Provider Name | WILLIAM STEPHEN FREIER 1545080
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Gender | Male
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Dates
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Enumeration Date | 11/18/2016
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 2045 32ND ST S
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City | LA CROSSE
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State | WI
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Zip | 54601-7026
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Country | US
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Telephone | 608-792-1635
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Fax |
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Provider Business Mailing Address
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Address Line | W7808 PARK AVE
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City | HOLMEN
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State | WI
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Zip | 54636-9410
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Country | US
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Telephone | 608-792-1635
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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 | 175L00000X
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Taxonomy Name | Homeopath
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License Number | 15450
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License Number State | WI
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