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General NPI Number Information
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NPI Number | 1447165501
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Entity Type | Individual
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Provider Name | KARA ANDRE BSN, RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 1716 LAWRENCE DR
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City | DE PERE
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State | WI
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Zip | 54115-9108
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Country | US
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Telephone | 920-605-3115
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Fax |
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Provider Business Mailing Address
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Address Line | N4364 COUNTY ROAD C
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City | PULASKI
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State | WI
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Zip | 54162-7616
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Country | US
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Telephone | 920-619-4330
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-312023
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License Number State | WI
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