MEDICARE: DAWN FRANCIS CADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator	14387-132	WI

General Provider Information

NPI Number	:	1629226162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN FRANCIS CADC

Provider Business Mailing Address
First Line	:	720 W WASHINGTON ST
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54914-3805
Country	:	US
Telephone Number	:	920-830-1750
Fax Number	:	920-830-1770

Provider Business Practice Location Address
First Line	:	720 W WASHINGTON ST
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54914-3805
Country	:	US
Telephone Number	:	920-830-1750
Fax Number	:	920-830-1770

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	09/08/2008

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Directions to “ DAWN FRANCIS CADC” Practice Location

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