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General NPI Number Information
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NPI Number | 1043529381
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Entity Type | Individual
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Provider Name | DEBORAH ANN MEISNER LPC
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Gender | Female
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 2100 CHURCH ST STE 104
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City | EAST TROY
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State | WI
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Zip | 53120-1304
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Country | US
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Telephone | 262-444-9977
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Fax | 866-280-9793
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Provider Business Mailing Address
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Address Line | PO BOX 533
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City | EAST TROY
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State | WI
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Zip | 53120-0533
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Country | US
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Telephone | 262-444-9977
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Fax | 866-280-9793
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | L2016008565
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License Number State | MO
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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 | 8211125
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License Number State | WI
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