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General NPI Number Information
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NPI Number | 1962008961
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Entity Type | Individual
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Provider Name | KAREN MARIE O'CONNOR R.PH.
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Gender | Female
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Dates
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Enumeration Date | 12/07/2020
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 403 GATEWAY AVE
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City | MAUSTON
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State | WI
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Zip | 53948-1402
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Country | US
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Telephone | 608-847-7814
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Fax |
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Provider Business Mailing Address
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Address Line | E11039 WYNSONG DR
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City | BARABOO
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State | WI
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Zip | 53913-9377
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Country | US
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Telephone | 608-356-2907
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12420-40
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License Number State | WI
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