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General NPI Number Information
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NPI Number | 1962421024
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Entity Type | Individual
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Provider Name | JUI-HAN SOLVERSON NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/23/2017
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Provider Practice Location Address
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Address Line | 2929 VENTURE DR
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City | JANESVILLE
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State | WI
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Zip | 53546-9169
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Country | US
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Telephone | 262-275-5791
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Fax |
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Provider Business Mailing Address
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Address Line | 416 MADISON ST
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City | LAKE GENEVA
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State | WI
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Zip | 53147-1709
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Country | US
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Telephone |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP30007316
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License Number State | WA
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