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General NPI Number Information
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NPI Number | 1740718410
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Entity Type | Individual
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Provider Name | IAIN W. DECKER DO
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Gender | Male
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | BELOIT CLINIC 1905 E HUEBBE PARKWAY
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City | BELOIT
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State | WI
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Zip | 53511-1842
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Country | US
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Telephone | 608-364-2293
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Fax | 608-364-5452
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Provider Business Mailing Address
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Address Line | BELOIT CLINIC 1905 E HUEBBE PARKWAY
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City | BELOIT
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State | WI
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Zip | 53511-1842
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Country | US
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Telephone | 608-364-2293
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Fax | 608-364-5452
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036-157241
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 5101028533
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 75511-21
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License Number State | WI
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