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General NPI Number Information
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NPI Number | 1407649841
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Entity Type | Individual
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Provider Name | AMY ZOULEK MSN, APNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | W180N8085 TOWN HALL RD
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-3518
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Country | US
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Telephone | 262-257-5803
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Fax |
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Provider Business Mailing Address
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Address Line | N79W17933 TAMARACK SPRINGS CIR UNIT 1
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-4090
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Country | US
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Telephone | 414-416-4229
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 16844-33
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License Number State | WI
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