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General NPI Number Information
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NPI Number | 1992993232
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Entity Type | Organization
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Legal Business Name | MASKI & MASKI MD
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 1250 E BUS HWY 151 SUITE A
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City | PLATTEVILLE
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State | WI
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Zip | 53818-3875
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Country | US
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Telephone | 608-348-4677
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Fax | 608-348-7774
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Provider Business Mailing Address
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Address Line | 1250 E BUS HWY 151 SUITE A
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City | PLATTEVILLE
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State | WI
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Zip | 53818-3875
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Country | US
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Telephone | 608-348-4677
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Fax | 608-348-7774
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Authorized Official
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Title or Position | PARTNER
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Name | RAVIKANT MASKI
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Credential | M.D.
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Telephone | 608-348-4677
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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 | 23145-020
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 23470
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 23145-020
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 23470
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License Number State | WI
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