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General NPI Number Information
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NPI Number | 1962585505
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Entity Type | Individual
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Provider Name | DEBORAH L SCHWALLIE APNP
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Gender | Female
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | W129N7055 NORTHFIELD DR
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-0538
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Country | US
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Telephone | 262-253-5401
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Fax | 920-328-9713
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Provider Business Mailing Address
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Address Line | 1834 W WISCONSIN AVE SUITE 100
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City | MILWAUKEE
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State | WI
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Zip | 53233-2125
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Country | US
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Telephone | 414-933-9100
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Fax | 414-933-9200
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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 | 364SC1501X
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Taxonomy Name | Community Health/Public Health Clinical Nurse Specialist
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License Number | 97-033
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 97-033
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License Number State | WI
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