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General NPI Number Information
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NPI Number | 1750335204
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Entity Type | Individual
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Provider Name | KAREN L GASTRAU APNP
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 5928 W VLIET ST SUITE 100A
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City | MILWAUKEE
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State | WI
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Zip | 53208-2165
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Country | US
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Telephone | 414-771-0212
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Fax |
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Provider Business Mailing Address
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Address Line | 1185 KAVANAUGH PL
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City | WAUWATOSA
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State | WI
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Zip | 53213-3146
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Country | US
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Telephone | 414-476-2458
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 940
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License Number State | WI
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