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General NPI Number Information
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NPI Number | 1477482792
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Entity Type | Individual
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Provider Name | BROOKE WEIK
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Gender | Female
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 105 GARFIELD AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-4811
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Country | US
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Telephone | 715-836-5287
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Fax |
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Provider Business Mailing Address
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Address Line | W6844 LIBERTY LN
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City | PHILLIPS
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State | WI
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Zip | 54555-7657
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Country | US
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Telephone |
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 254699-30
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License Number State | WI
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