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General NPI Number Information
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NPI Number | 1538031588
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Entity Type | Individual
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Provider Name | TYLER D ADAMCZAK APNP
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Gender | Male
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 855 LAKELAND DR
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-1687
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Country | US
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Telephone | 715-726-9248
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Fax |
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Provider Business Mailing Address
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Address Line | 2403A FOLSOM ST
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City | EAU CLAIRE
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State | WI
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Zip | 54703-2435
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 17611-33
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License Number State | WI
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