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General NPI Number Information
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NPI Number | 1144032590
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Entity Type | Individual
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Provider Name | LISA JANE PALECEK IHP
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Gender | Female
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | W6800 COUNTY ROAD Z
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City | MONDOVI
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State | WI
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Zip | 54755-8581
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Country | US
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Telephone | 507-205-3639
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Fax |
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Provider Business Mailing Address
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Address Line | W6800 COUNTY ROAD Z
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City | MONDOVI
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State | WI
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Zip | 54755-8581
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Country | US
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Telephone | 507-205-3639
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | 1231158033
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State | WI
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