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General NPI Number Information
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NPI Number | 1710169214
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Entity Type | Individual
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Provider Name | JOAN ELIZABETH DAMS RN
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Gender | Female
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | W8339 PERRY RD APT 2
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City | FT ATKINSON
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State | WI
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Zip | 53538
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Country | US
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Telephone | 920-563-6113
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Fax |
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Provider Business Mailing Address
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Address Line | W8339 PERRY RD APT 2
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City | FT ATKINSON
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State | WI
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Zip | 53538
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Country | US
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Telephone | 920-563-6113
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 131972
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License Number State | WI
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