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General NPI Number Information
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NPI Number | 1124907803
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Entity Type | Individual
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Provider Name | STEPHANIE J NORTH RN
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Gender | Female
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1 SCIENCE CT
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City | MADISON
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State | WI
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Zip | 53711-1055
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Country | US
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Telephone | 608-280-7059
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Fax | 608-284-6375
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Provider Business Mailing Address
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Address Line | 624 CAMPION CT
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City | EVANSVILLE
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State | WI
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Zip | 53536-1088
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Country | US
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Telephone | 608-843-4354
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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 | 166724-30
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License Number State | WI
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