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General NPI Number Information
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NPI Number | 1679329403
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Entity Type | Individual
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Provider Name | ALESHA D FITZGERALD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2024
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 2555 N MLK DR
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City | MILWAUKEE
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State | WI
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Zip | 53212-2709
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Country | US
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Telephone | 414-372-8080
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Fax | 414-267-3701
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Provider Business Mailing Address
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Address Line | 8444 N 90TH ST STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4437
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Country | US
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Telephone | 602-248-8886
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Fax | 602-854-0504
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 159932
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2025044672
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License Number State | WI
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