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General NPI Number Information
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NPI Number | 1619496296
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Entity Type | Individual
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Provider Name | EMILY BRUEGGEMANN
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Gender | Female
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Dates
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Enumeration Date | 09/14/2017
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 8940 S. 51ST ST
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City | FRANKLIN
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State | WI
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Zip | 53132
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Country | US
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Telephone | 414-721-1407
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Fax |
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Provider Business Mailing Address
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Address Line | 8940 S 51ST ST
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City | FRANKLIN
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State | WI
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Zip | 53132-8207
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2021014867
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 6083-26
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License Number State | WI
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