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General NPI Number Information
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NPI Number | 1902730310
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Entity Type | Individual
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Provider Name | KAYLA MARKLE
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Gender | Female
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 12800 N LAKE SHORE DR
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City | MEQUON
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State | WI
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Zip | 53097-2418
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Country | US
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Telephone | 262-243-5700
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Fax |
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Provider Business Mailing Address
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Address Line | W298S2975 RIDGEWOOD DR
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City | WAUKESHA
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State | WI
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Zip | 53188-9269
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Country | US
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Telephone | 262-442-1380
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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 | 1850133
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License Number State | WI
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