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General NPI Number Information
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NPI Number | 1750036117
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Entity Type | Individual
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Provider Name | ELISABETH STRUTZ APNP
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Gender | Female
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Dates
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Enumeration Date | 02/15/2022
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 3400 MARKET LN
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City | KENOSHA
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State | WI
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Zip | 53144-3430
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Country | US
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Telephone | 252-551-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 MARKET LN
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City | KENOSHA
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State | WI
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Zip | 53144-3430
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Country | US
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Telephone | 262-344-6415
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Fax | 262-551-4614
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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 | 31198
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License Number State | TN
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