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General NPI Number Information
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NPI Number | 1033258116
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Entity Type | Organization
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Legal Business Name | WISCONSIN STRESS CONTROL CENTER, LTD
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9401 W BELOIT RD SUITE 314
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City | MILWAUKEE
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State | WI
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Zip | 53227
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Country | US
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Telephone | 414-327-6565
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Fax | 414-327-6845
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Provider Business Mailing Address
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Address Line | 9401 W BELOIT RD SUITE 314
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City | MILWAUKEE
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State | WI
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Zip | 53227
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Country | US
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Telephone | 414-327-6565
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Fax | 414-327-6845
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Authorized Official
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Title or Position | OWNER-PRESIDENT
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Name | DR. CARL JOSEPH NIEMIEC
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Credential | PHD
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Telephone | 414-327-6565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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