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General NPI Number Information
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NPI Number | 1932212461
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Entity Type | Individual
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Provider Name | ROBERT A COE MD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 118 W MAPLE AVE
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City | BEAVER DAM
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State | WI
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Zip | 53916-2104
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Country | US
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Telephone | 920-356-1000
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Fax | 920-356-0719
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Provider Business Mailing Address
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Address Line | 1515 PARK AVE
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City | COLUMBUS
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State | WI
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Zip | 53925-1618
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Country | US
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Telephone | 920-623-2200
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 36330
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 36330-20
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License Number State | WI
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