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General NPI Number Information
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NPI Number | 1962744516
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Entity Type | Organization
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Legal Business Name | UNGER EYE M.D., S.C
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Dates
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Enumeration Date | 03/21/2013
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Last Update Date | 02/23/2015
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Provider Practice Location Address
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Address Line | 7001 S HOWELL AVE
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City | OAK CREEK
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State | WI
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Zip | 53154-1402
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Country | US
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Telephone | 414-570-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 7001 S HOWELL AVE SUITE 300
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City | OAK CREEK
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State | WI
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Zip | 53154-1402
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Country | US
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Telephone | 414-570-2020
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JENNIFER UNGER
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Credential | M.D.
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Telephone | 414-570-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 47775-020
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License Number State | WI
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