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General NPI Number Information
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NPI Number | 1083040513
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Entity Type | Individual
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Provider Name | KRISTINE LYNN ENGEL RN, MSN, CRRN
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Gender | Female
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 9200 W WISCONSIN AVE
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City | MILWAUKEE
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State | WI
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Zip | 53226-3522
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Country | US
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Telephone | 414-805-2879
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Fax |
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Provider Business Mailing Address
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Address Line | S76W19776 PROSPECT DR
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City | MUSKEGO
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State | WI
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Zip | 53150-9228
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Country | US
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Telephone | 414-217-1044
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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 | 163WN0800X
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Taxonomy Name | Neuroscience Registered Nurse
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License Number | 107926-30
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License Number State | WI
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