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General NPI Number Information
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NPI Number | 1356742233
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Entity Type | Individual
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Provider Name | JUTTA DEININGER DNP
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Gender | Female
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | 1433 N WATER ST STE 400
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City | MILWAUKEE
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State | WI
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Zip | 53202-2603
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 400 RENAISSANCE CTR STE 2600
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City | DETROIT
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State | MI
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Zip | 48243-1599
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Country | US
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Telephone | 888-731-8994
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11159
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 11159
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 4704426517
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License Number State | MI
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