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General NPI Number Information
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NPI Number | 1811836208
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Entity Type | Individual
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Provider Name | JOSEPHINE ANDERSON
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Gender | Female
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Dates
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Enumeration Date | 03/28/2026
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Last Update Date | 03/28/2026
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Provider Practice Location Address
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Address Line | 15954 RIVERS EDGE DR
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City | HAYWARD
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State | WI
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Zip | 54843-7800
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Country | US
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Telephone | 715-634-2541
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Fax |
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Provider Business Mailing Address
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Address Line | 11175 N MOSQUITO BROOK RD
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City | HAYWARD
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State | WI
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Zip | 54843-6011
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Country | US
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Telephone | 715-558-0593
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 18168-33
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License Number State | WI
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