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General NPI Number Information
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NPI Number | 1245162254
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Entity Type | Individual
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Provider Name | SERRA C SUDEMIR RN
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Gender | Female
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 1228 W LLOYD ST
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City | MILWAUKEE
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State | WI
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Zip | 53205-1243
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Country | US
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Telephone | 414-264-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 6220 N SUNNY POINT RD
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City | GLENDALE
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State | WI
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Zip | 53217-4170
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Country | US
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Telephone | 414-378-5159
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 185376-30
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License Number State | WI
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