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General NPI Number Information
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NPI Number | 1881797462
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Entity Type | Individual
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Provider Name | JOSEPHINE M MCINTOSH APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 2430 E MASON ST
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City | GREEN BAY
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State | WI
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Zip | 54302-3759
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Country | US
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Telephone | 920-445-7377
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Fax |
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Provider Business Mailing Address
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Address Line | N8931 COUNTY ROAD DK
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City | DYCKESVILLE
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State | WI
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Zip | 54217-9685
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Country | US
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Telephone | 701-610-6169
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R19389
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4055
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2536
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A-122356
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License Number State | IA
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