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NPI 1578370722

NPI 1578370722 : DONLEE HEALTH AND WELLNESS LLC : KENOSHA, WI

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General NPI Number Information
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    NPI Number           |    1578370722
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    Entity Type          |    Organization 
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    Legal Business Name  |    DONLEE HEALTH AND WELLNESS LLC 
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Dates
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    Enumeration Date     |    12/11/2024
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    Last Update Date     |    01/25/2026
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Provider Practice Location Address
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    Address Line         |    6530 SHERIDAN RD STE 8 
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    City                 |    KENOSHA
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    State                |    WI
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    Zip                  |    53143-5063
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    Country              |    US
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    Telephone            |    262-286-1133
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    Fax                  |    833-760-3719
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Provider Business Mailing Address
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    Address Line         |    6530 SHERIDAN RD STE 8 
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    City                 |    KENOSHA
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    State                |    WI
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    Zip                  |    53143-5063
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    Country              |    US
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    Telephone            |    262-286-1133
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    Fax                  |    833-760-3719
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Authorized Official
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    Title or Position    |    NURSE PRACTITIONER
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    Name                 |    MS. DOKOTA LASHON BROWN 
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    Credential           |    
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    Telephone            |    262-945-5985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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