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General NPI Number Information
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NPI Number | 1164355798
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Entity Type | Individual
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Provider Name | CAILEE JO WEISSENRIEDER
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Gender | Female
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 123 HOSPITAL DR STE 2009
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City | WATERTOWN
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State | WI
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Zip | 53098-3320
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Country | US
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Telephone | 920-262-4560
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Fax | 833-606-0210
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Provider Business Mailing Address
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Address Line | 1500 WEDGEWOOD DR
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City | WATERTOWN
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State | WI
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Zip | 53098-3414
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Country | US
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Telephone | 920-262-4560
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Fax | 833-606-0210
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F06260260
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License Number State | WI
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