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General NPI Number Information
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NPI Number | 1033018759
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Entity Type | Individual
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Provider Name | KATELYN MARTINY RN
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Gender | Female
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 805 E MASON ST
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City | MILWAUKEE
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State | WI
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Zip | 53202-4016
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Country | US
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Telephone | 414-388-9854
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Fax |
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Provider Business Mailing Address
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Address Line | W277S8440 RIVERVIEW DR
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City | MUKWONAGO
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State | WI
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Zip | 53149-9672
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 197373-30
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License Number State | WI
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