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General NPI Number Information
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NPI Number | 1255579108
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Entity Type | Individual
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Provider Name | HEIDI A SYKORA RN, GNP-BC, APNP
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Gender | Female
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 2020 W WELLS ST
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City | MILWAUKEE
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State | WI
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Zip | 53233-2720
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Country | US
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Telephone | 414-431-7416
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Fax | 414-755-1885
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Provider Business Mailing Address
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Address Line | 2020 W. WELLS ST MILWAUKEE CENTER FOR INDEPENDENCE
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City | MILWAUKEE
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State | WI
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Zip | 53233
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Country | US
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Telephone | 414-431-7416
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Fax | 414-755-1885
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 2365
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License Number State | WI
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