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General NPI Number Information
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NPI Number | 1942747712
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Entity Type | Individual
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Provider Name | JENNIFER E PLAETZ PT
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Gender | Female
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Dates
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Enumeration Date | 01/31/2017
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 250 WI-37
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City | MONDOVI
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State | WI
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Zip | 54755
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Country | US
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Telephone | 715-538-4361
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Fax |
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Provider Business Mailing Address
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Address Line | 250 STATE RD 37 MONDOVI, WI 54755 715-53
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City | MONDOVI
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State | WI
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Zip | 54755-9070
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Country | US
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Telephone | 715-538-4361
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 13636
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License Number State | WI
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