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General NPI Number Information
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NPI Number | 1871451112
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Entity Type | Individual
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Provider Name | MELANEE KRUMHUS APNP
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Gender | Female
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1701 FOND DU LAC AVE
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City | KEWASKUM
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State | WI
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Zip | 53040-9129
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Country | US
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Telephone | 262-626-4616
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Fax |
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Provider Business Mailing Address
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Address Line | 7579 BAVARIAN LN
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City | WEST BEND
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State | WI
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Zip | 53090-8603
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 17751-33
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License Number State | WI
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