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General NPI Number Information
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NPI Number | 1881344604
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Entity Type | Individual
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Provider Name | KELLY K SCHILL RN, FNP-C, AANP
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Gender | Female
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 949 N 9TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53233-1422
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Country | US
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Telephone | 800-367-5690
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Fax |
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Provider Business Mailing Address
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Address Line | 2224 W VISTA BELLA DR
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City | OAK CREEK
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State | WI
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Zip | 53154-2662
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Country | US
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Telephone | 414-218-4025
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 11844-33
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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 | 11844-33
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License Number State | WI
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