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General NPI Number Information
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NPI Number | 1801280284
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Entity Type | Individual
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Provider Name | KATSIARYNA FRANTSKEVICH MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 07/01/2019
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Provider Practice Location Address
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Address Line | 2350 N LAKE DR STE 500
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City | MILWAUKEE
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State | WI
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Zip | 53211-4528
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Country | US
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Telephone | 414-289-9669
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Fax | 414-289-9693
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Provider Business Mailing Address
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Address Line | 2350 N LAKE DR STE 500
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City | MILWAUKEE
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State | WI
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Zip | 53211-4528
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Country | US
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Telephone | 414-289-9669
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Fax | 414-289-9693
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 71180
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 71180-20
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License Number State | WI
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