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General NPI Number Information
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NPI Number | 1114463080
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Entity Type | Individual
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Provider Name | SARAH JEAN MCDOWELL LPC
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Gender | Female
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Dates
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Enumeration Date | 01/16/2017
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Last Update Date | 01/16/2017
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Provider Practice Location Address
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Address Line | 16535 W BLUEMOUND RD STE 200
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City | BROOKFIELD
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State | WI
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Zip | 53005-5906
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Country | US
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Telephone | 262-789-1191
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Fax | 262-821-6180
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Provider Business Mailing Address
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Address Line | W316S2848 ROBERTS RD
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City | WAUKESHA
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State | WI
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Zip | 53188-9100
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Country | US
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Telephone | 920-205-9533
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6351-125
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License Number State | WI
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