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General NPI Number Information
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NPI Number | 1518613629
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Entity Type | Individual
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Provider Name | KERA SCHILL MSN, BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 02/28/2022
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 811 HARDING ST
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City | WAUPACA
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State | WI
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Zip | 54981-2012
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Country | US
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Telephone | 715-258-6323
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Fax | 715-258-6333
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Provider Business Mailing Address
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Address Line | N4406 WARE RD
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City | WAUPACA
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State | WI
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Zip | 54981-8741
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Country | US
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Telephone | 715-281-9456
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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 | 11793-30
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 236687-30
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License Number State | WI
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