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General NPI Number Information
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NPI Number | 1699417915
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Entity Type | Individual
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Provider Name | DARLA DIERMEIER CEP
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Gender | Female
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Dates
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Enumeration Date | 04/07/2022
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 1221 WHIPPLE ST
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City | EAU CLAIRE
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State | WI
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Zip | 54703-5200
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Country | US
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Telephone | 715-838-3979
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Fax | 715-838-5632
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Provider Business Mailing Address
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Address Line | E9465 COUNTY ROAD HH
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City | ELK MOUND
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State | WI
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Zip | 54739-9428
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Country | US
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Telephone | 715-838-3979
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Fax | 715-838-5632
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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 | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number | 867069
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License Number State | WI
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