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NPI 1982023545

NPI 1982023545 : LAUREN REBECCA SAUTER MD : CHIPPEWA FALLS, WI

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General NPI Number Information
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    NPI Number           |    1982023545
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    Entity Type          |    Individual 
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    Provider Name        |    LAUREN REBECCA SAUTER MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/10/2014
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    Last Update Date     |    01/17/2022
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Provider Practice Location Address
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    Address Line         |    855 LAKELAND DR 
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    City                 |    CHIPPEWA FALLS
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    State                |    WI
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    Zip                  |    54729-1687
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    Country              |    US
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    Telephone            |    715-839-9280
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3802 OAKWOOD MALL DR 
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    City                 |    EAU CLAIRE
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    State                |    WI
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    Zip                  |    54701-3016
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    64695-20
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    License Number State |    WI
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