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General NPI Number Information
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NPI Number | 1851487540
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Entity Type | Individual
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Provider Name | ANN M CLABOTS ANP
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/19/2017
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Provider Practice Location Address
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Address Line | 9601 TOWNLINE RD
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City | MINOCQUA
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State | WI
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Zip | 54548-9099
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Country | US
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Telephone | 715-358-1811
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Fax | 715-358-1188
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Provider Business Mailing Address
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Address Line | 9601 TOWNLINE RD
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City | MINOCQUA
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State | WI
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Zip | 54548-9099
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Country | US
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Telephone | 715-358-1811
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Fax | 715-358-1188
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2137033
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License Number State | WI
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