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General NPI Number Information
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NPI Number | 1669708855
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Entity Type | Individual
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Provider Name | ERIN JESSICA KASPAR-FRETT CPM, LM, MSM
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Gender | Female
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Dates
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Enumeration Date | 10/23/2009
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Last Update Date | 12/18/2017
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Provider Practice Location Address
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Address Line | E544 HIGHWAY 12
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City | KNAPP
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State | WI
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Zip | 54749-9074
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Country | US
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Telephone | 612-801-9967
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Fax |
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Provider Business Mailing Address
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Address Line | E544 HIGHWAY 12
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City | KNAPP
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State | WI
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Zip | 54749-9074
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Country | US
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Telephone |
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 59-049
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License Number State | WI
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