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General NPI Number Information
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NPI Number | 1619058740
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Entity Type | Individual
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Provider Name | TRACY M PETERSON NURSE PRACTIONER
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 3077 N MAYFAIR RD STE 305
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City | WAUWATOSA
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State | WI
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Zip | 53222-4305
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Country | US
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Telephone | 414-384-6700
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Fax | 414-384-3008
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Provider Business Mailing Address
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Address Line | 2901 W KINNICKINNIC RIVER PKWY SUITE 102
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City | MILWAUKEE
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State | WI
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Zip | 53215-3677
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Country | US
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Telephone | 414-384-6700
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Fax | 414-384-3008
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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 | 2967-033
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License Number State | WI
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