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General NPI Number Information
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NPI Number | 1871075150
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Entity Type | Individual
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Provider Name | JESSICA KAPLAN DPT
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Gender | Female
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Dates
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Enumeration Date | 09/03/2018
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Last Update Date | 09/03/2018
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Provider Practice Location Address
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Address Line | 1300 W SILVER SPRING DR
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City | MILWAUKEE
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State | WI
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Zip | 53209-4415
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Country | US
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Telephone | 414-228-8120
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 N JACKSON ST APT 1601
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City | MILWAUKEE
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State | WI
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Zip | 53202-3203
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Country | US
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Telephone | 847-644-6225
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14422-24
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License Number State | WI
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