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NPI 1780720581

NPI 1780720581 : DEBRAH ANNE KLAPPERICH BC-HIS : CHILTON, WI

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General NPI Number Information
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    NPI Number           |    1780720581
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    Entity Type          |    Individual 
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    Provider Name        |    DEBRAH ANNE KLAPPERICH BC-HIS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/29/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    451 E BROOKLYN ST 
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    City                 |    CHILTON
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    State                |    WI
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    Zip                  |    53014-1595
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    Country              |    US
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    Telephone            |    920-849-3000
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    Fax                  |    920-452-9535
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Provider Business Mailing Address
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    Address Line         |    451 E BROOKLYN ST 
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    City                 |    CHILTON
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    State                |    WI
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    Zip                  |    53014-1595
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    Country              |    US
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    Telephone            |    920-849-3000
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    Fax                  |    920-452-9535
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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        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    810
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    License Number State |    WI
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