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General NPI Number Information
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NPI Number | 1003782210
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Entity Type | Individual
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Provider Name | HANNAH KUSEL MSN FNP APNP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 1111 DELAFIELD ST STE 207
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City | WAUKESHA
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State | WI
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Zip | 53188-3403
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Country | US
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Telephone | 262-446-3593
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Fax |
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Provider Business Mailing Address
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Address Line | W1326 BEULAH LANE RD
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City | EAST TROY
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State | WI
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Zip | 53120-2134
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Country | US
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Telephone | 262-719-5245
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 25786730
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License Number State | WI
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