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General NPI Number Information
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NPI Number | 1669644993
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Entity Type | Individual
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Provider Name | DALE VLADIC CRNFA
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Gender | Male
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 665 RANGER ST
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City | MOSINEE
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State | WI
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Zip | 54455-1822
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Country | US
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Telephone | 708-790-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 665 RANGER ST
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City | MOSINEE
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State | WI
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Zip | 54455-1822
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Country | US
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Telephone | 708-790-7333
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 4704423873
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 2560202
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | RN95231143
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 258819
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 198661-30
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License Number State | WI
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