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General NPI Number Information
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NPI Number | 1922572783
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Entity Type | Individual
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Provider Name | LAURIE L WERRLINE LPN
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Gender | Female
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Dates
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Enumeration Date | 01/15/2019
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | W5759 MINGS RD
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City | MONROE
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State | WI
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Zip | 53566-9795
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Country | US
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Telephone | 608-293-1583
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Fax |
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Provider Business Mailing Address
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Address Line | W5759 MINGS RD
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City | MONROE
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State | WI
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Zip | 53566-9795
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Country | US
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Telephone | 608-293-1583
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 316839
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License Number State | WI
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