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General NPI Number Information
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NPI Number | 1083065403
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Entity Type | Individual
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Provider Name | EMILY BECKER APRN
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Gender | Female
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | N16W23217 STONE RIDGE DR. SUITE 270
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City | PEWAUKEE
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State | WI
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Zip | 53188-1171
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Country | US
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Telephone | 262-796-0600
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Fax | 262-796-0700
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Provider Business Mailing Address
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Address Line | N16W23217 STONE RIDGE DR. SUITE 270
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City | PEWAUKEE
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State | WI
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Zip | 53188-1171
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Country | US
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Telephone | 262-796-0600
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Fax | 262-796-0700
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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 | 7577
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License Number State | WI
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