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General NPI Number Information
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NPI Number | 1679340459
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Entity Type | Organization
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Legal Business Name | KATHERINE A. KNABE, LLC
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 970 S SILVER LAKE ST STE 101
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City | OCONOMOWOC
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State | WI
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Zip | 53066-3802
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Country | US
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Telephone | 815-494-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 970 S SILVER LAKE ST STE 101
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City | OCONOMOWOC
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State | WI
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Zip | 53066-3802
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Country | US
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Telephone | 262-567-7400
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST/PRACTICE OWNER
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Name | DR. KATHERINE A KNABE
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Credential | DDS
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Telephone | 815-494-8990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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