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General NPI Number Information
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NPI Number | 1508634973
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Entity Type | Individual
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Provider Name | DANIELLE LYNN VENHUIZEN
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Gender | Female
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Dates
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Enumeration Date | 12/15/2023
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 515 22ND AVE
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City | MONROE
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State | WI
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Zip | 53566-1569
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Country | US
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Telephone | 608-324-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 9704 E TOWNSEND RD
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City | STOCKTON
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State | IL
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Zip | 61085-8822
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Country | US
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Telephone | 815-821-3229
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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 | 209.028881
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 14956-33
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 14956-33
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 209.028881
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209.028881
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License Number State | IL
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