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General NPI Number Information
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NPI Number | 1376916007
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Entity Type | Individual
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Provider Name | LINSEY DEMASTER
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Gender | Female
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 945 N 12TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53233-1305
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Country | US
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Telephone | 414-219-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 945 N 12TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53233-1305
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Country | US
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Telephone | 414-219-2000
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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 | 8735-033
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 8735
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | AP129493
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License Number State | TX
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