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General NPI Number Information
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NPI Number | 1922719848
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Entity Type | Individual
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Provider Name | NICOLE MARIE HIPKE
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Gender | Female
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Dates
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Enumeration Date | 12/12/2022
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 2750 GOLF RD
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City | DELAFIELD
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State | WI
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Zip | 53018-2062
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Country | US
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Telephone | 262-928-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 1207A WOODBURY CMN
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City | WAUKESHA
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State | WI
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Zip | 53189-7789
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Country | US
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Telephone | 262-442-2572
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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 | 13376-33
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License Number State | WI
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