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General NPI Number Information
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NPI Number | 1083784433
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Entity Type | Individual
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Provider Name | DEBRA S KLUND LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 331 S MAIN ST
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City | RICE LAKE
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State | WI
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Zip | 54868
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Country | US
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Telephone | 715-838-5222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1510
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City | EAU CLAIRE
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State | WI
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Zip | 54702-1510
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Country | US
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Telephone | 715-838-5222
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 607-124
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 607-124
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License Number State | WI
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