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General NPI Number Information
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NPI Number | 1023825940
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Entity Type | Individual
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Provider Name | MRS. LINDSAY ANN FANELLI-HUETTL
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Gender | Female
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 511 COMMANDER CT
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City | FORT ATKINSON
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State | WI
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Zip | 53538-3158
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Country | US
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Telephone | 608-436-6302
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Fax |
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Provider Business Mailing Address
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Address Line | 700 W MILWAUKEE ST
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City | JEFFERSON
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State | WI
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Zip | 53549-1436
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Country | US
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Telephone | 920-675-1133
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 132975-121
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 132975-121
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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