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General NPI Number Information
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NPI Number | 1679224463
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Entity Type | Individual
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Provider Name | ANN MARGARET DECKERS FNP
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Gender | Female
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 1000 N OAK AVE
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City | MARSHFIELD
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State | WI
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Zip | 54449-5702
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Country | US
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Telephone | 715-221-7681
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Fax | 715-221-5860
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Provider Business Mailing Address
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Address Line | 2341 OPPORTUNITY LN
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City | PLOVER
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State | WI
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Zip | 54467-3210
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Country | US
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Telephone | 715-341-9426
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11525-33
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License Number State | WI
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