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General NPI Number Information
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NPI Number | 1881478998
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Entity Type | Individual
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Provider Name | NICOLE BAUMBACH DNP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 2900 W OKLAHOMA AVE
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City | MILWAUKEE
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State | WI
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Zip | 53215-4330
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Country | US
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Telephone | 414-649-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 2034 S 107TH ST
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City | WEST ALLIS
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State | WI
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Zip | 53227-1233
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Country | US
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Telephone | 262-893-4400
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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 | 14319-33
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License Number State | WI
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