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General NPI Number Information
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NPI Number | 1003598814
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Entity Type | Individual
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Provider Name | KATELYN RYMAN NP
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Gender | Female
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | N20W22961 WATERTOWN RD
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City | WAUKESHA
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State | WI
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Zip | 53186-1306
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Country | US
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Telephone | 262-875-5070
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Fax |
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Provider Business Mailing Address
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Address Line | 3606 PINE GROVE WAY
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City | MADISON
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State | WI
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Zip | 53719-4059
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Country | US
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Telephone | 563-513-8723
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 14336-33
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License Number State | WI
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