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General NPI Number Information
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NPI Number | 1306725064
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Entity Type | Individual
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Provider Name | KYLE J STECKER
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Gender | Male
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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 | 4600 W SCHROEDER DR
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City | BROWN DEER
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State | WI
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Zip | 53223-6458
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Country | US
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Telephone | 414-865-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 10186 STATE ROAD 60
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City | CEDARBURG
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State | WI
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Zip | 53012-8917
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Country | US
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Telephone | 920-889-1385
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1735033
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License Number State | WI
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