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General NPI Number Information
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NPI Number | 1871501452
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Entity Type | Individual
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Provider Name | THOMAS S ALTEPETER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 07/09/2009
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Provider Practice Location Address
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Address Line | 1936 ALGOMA BLVD. STE B
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City | OSHKOSH
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State | WI
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Zip | 54901-2104
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Country | US
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Telephone | 920-385-7273
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Fax | 920-385-0140
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Provider Business Mailing Address
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Address Line | 1936 ALGOMA BLVD. STE B
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City | OSHKOSH
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State | WI
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Zip | 54901-2104
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Country | US
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Telephone | 920-385-7273
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Fax | 920-385-0140
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1320-057
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1320
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License Number State | WI
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