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General NPI Number Information
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NPI Number | 1972921104
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Entity Type | Individual
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Provider Name | JOANN PATRICIA BORKENHAGEN NP-C
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Gender | Female
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 221 SHEPARD ST
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City | RIPON
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State | WI
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Zip | 54971-1390
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Country | US
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Telephone | 920-748-3121
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Fax |
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Provider Business Mailing Address
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Address Line | 845 PARKSIDE ST
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City | RIPON
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State | WI
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Zip | 54971-8505
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Country | US
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Telephone | 920-748-4372
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Fax | 920-748-1613
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5738-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5738-33
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License Number State | WI
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