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General NPI Number Information
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NPI Number | 1811997612
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Entity Type | Individual
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Provider Name | LUCINDA K FENSKE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 11/17/2010
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Provider Practice Location Address
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Address Line | 2350 N LAKE DR SUITE 502
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City | MILWAUKEE
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State | WI
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Zip | 53211-4507
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Country | US
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Telephone | 414-271-3300
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Fax | 414-271-5549
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Provider Business Mailing Address
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Address Line | 8615 N DEAN CIR
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City | RIVER HILLS
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State | WI
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Zip | 53217-2038
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Country | US
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Telephone | 414-352-8071
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 27618
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License Number State | WI
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