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General NPI Number Information
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NPI Number | 1053653618
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Entity Type | Individual
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Provider Name | DANIELLE LYNN KLUZ-LUCIO LAC, MSOM
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Gender | Female
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Dates
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Enumeration Date | 03/21/2013
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 15807 W. NATIONAL AVE.
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City | NEW BERLIN
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State | WI
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Zip | 53151
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Country | US
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Telephone | 414-333-2429
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Fax |
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Provider Business Mailing Address
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Address Line | 15807 W NATIONAL AVE
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City | NEW BERLIN
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State | WI
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Zip | 53151-5120
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Country | US
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Telephone | 414-333-2429
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 743-55
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License Number State | WI
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