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General NPI Number Information
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NPI Number | 1760283089
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Entity Type | Individual
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Provider Name | AMANDA RINDAL
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Gender | Female
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Dates
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Enumeration Date | 03/22/2025
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 7510 288TH AVE
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City | SALEM
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State | WI
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Zip | 53168-9564
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Country | US
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Telephone | 262-586-0199
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Fax |
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Provider Business Mailing Address
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Address Line | 2576 N 54TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53210-2739
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Country | US
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Telephone |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2070-55
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License Number State | WI
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