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General NPI Number Information
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NPI Number | 1811385818
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Entity Type | Individual
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Provider Name | GRETHEL M HOKENSON APRN
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Gender | Female
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Dates
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Enumeration Date | 12/30/2014
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Last Update Date | 05/16/2019
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Provider Practice Location Address
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Address Line | 325 N COMMERCIAL ST STE 400
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City | NEENAH
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State | WI
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Zip | 54956-2665
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Country | US
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Telephone | 920-969-7930
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Fax | 920-969-7975
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Provider Business Mailing Address
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Address Line | 9000 W WISCONSIN AVE # MS 958
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City | MILWAUKEE
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State | WI
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Zip | 53226-4874
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Country | US
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Telephone | 414-266-7615
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Fax | 414-266-6238
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 8169-33
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License Number State | WI
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