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General NPI Number Information
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NPI Number | 1669448742
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Entity Type | Individual
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Provider Name | CAMILLE KATHERINE WISSMANN PHARM D
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Gender | Female
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 05/03/2011
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Provider Practice Location Address
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Address Line | 1550 LARIMER ST SUITE 896
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City | DENVER
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State | CO
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Zip | 80202-1602
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Country | US
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Telephone | 720-336-1530
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Fax | 888-502-0655
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Provider Business Mailing Address
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Address Line | 923 W WINDTREE DR 923 W WINDTREE DRIVE
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City | APPLETON
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State | WI
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Zip | 54914-7222
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Country | US
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Telephone | 920-268-7251
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051037824
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 29988
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13629
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 9984
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10702040
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License Number State | WI
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