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General NPI Number Information
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NPI Number | 1194094052
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Entity Type | Individual
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Provider Name | SUSAN LEA SCHLEICHER APNP
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Gender | Female
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 1010 N WASHINGTON ST
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City | JANESVILLE
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State | WI
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Zip | 53548-1500
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Country | US
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Telephone | 608-741-3800
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Fax | 608-741-3808
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Provider Business Mailing Address
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Address Line | N5908 LOST CREEK RD
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City | GREEN LAKE
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State | WI
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Zip | 54941-9686
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Country | US
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Telephone | 920-229-4542
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4730-33
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License Number State | WI
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