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General NPI Number Information
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NPI Number | 1346236783
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Entity Type | Individual
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Provider Name | AUDREY KATHERINE HEBERT RN, MSN, FNP
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Gender | Female
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1027 N 9TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53233-1411
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Country | US
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Telephone | 414-765-0606
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Fax | 414-765-0226
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Provider Business Mailing Address
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Address Line | 6015 S ABERDEEN DR
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City | NEW BERLIN
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State | WI
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Zip | 53146-5204
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Country | US
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Telephone | 262-679-1984
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Fax | 414-765-0226
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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 | RN 63583-030
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License Number State | WI
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