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General NPI Number Information
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NPI Number | 1093448326
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Entity Type | Organization
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Legal Business Name | THINKINGWHILEDRINKING
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 17332 DURAND AVE
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City | UNION GROVE
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State | WI
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Zip | 53182-9507
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Country | US
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Telephone | 619-299-9061
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Fax |
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Provider Business Mailing Address
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Address Line | 1923 W CAMINO CERRO
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City | YUMA
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State | AZ
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Zip | 85364-6160
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KEEVER CZLAPINSKI
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Credential | CP
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Telephone | 619-299-9061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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