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General NPI Number Information
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NPI Number | 1083113583
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Entity Type | Organization
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Legal Business Name | POSITIVE INSIGHTS, LLC
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Dates
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Enumeration Date | 02/09/2018
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Last Update Date | 02/09/2018
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Provider Practice Location Address
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Address Line | 185 W NETHERWOOD ST STE 6B
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City | OREGON
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State | WI
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Zip | 53575-1100
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Country | US
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Telephone | 608-577-0084
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Fax |
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Provider Business Mailing Address
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Address Line | W1289 MORTENSEN RD
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City | BROOKLYN
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State | WI
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Zip | 53521-8924
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Country | US
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Telephone | 608-577-0084
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | ERIN J OLHEISER
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Credential | LPC
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Telephone | 608-577-0084
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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 | 4265-125
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License Number State | WI
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