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General NPI Number Information
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NPI Number | 1659931244
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Entity Type | Individual
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Provider Name | MARIE FRANCES DOBRATZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 12/28/2021
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Provider Practice Location Address
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Address Line | 3003 UNIVERSITY DR
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City | MARINETTE
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State | WI
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Zip | 54143-4110
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Country | US
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Telephone | 715-735-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 7983 SUMMIT DR
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City | DELAVAN
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State | WI
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Zip | 53115-3295
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Country | US
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Telephone | 262-745-6105
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4790
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License Number State | WI
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