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General NPI Number Information
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NPI Number | 1881829927
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Entity Type | Individual
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Provider Name | JANE CHRISTINE DALE MD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 05/19/2009
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Provider Practice Location Address
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Address Line | 200 1ST ST SW SU 1-152
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City | ROCHESTER
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State | MN
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Zip | 55905-0001
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Country | US
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Telephone | 608-236-4254
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Fax | 608-236-4288
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Provider Business Mailing Address
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Address Line | 218 S KENOSHA DR
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City | MADISON
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State | WI
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Zip | 53705-4623
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Country | US
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Telephone | 608-236-4254
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Fax | 608-236-4288
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 31262
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 26448
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 43455
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME 89949
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License Number State | FL
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