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General NPI Number Information
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NPI Number | 1144111246
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Entity Type | Organization
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Legal Business Name | COUNTY OF BROWN
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 3150 GERSHWIN DR
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City | GREEN BAY
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State | WI
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Zip | 54311-4328
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Country | US
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Telephone | 920-391-4700
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Fax | 920-391-4870
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Provider Business Mailing Address
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Address Line | 3150 GERSHWIN DR
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City | GREEN BAY
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State | WI
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Zip | 54311-4328
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Country | US
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Telephone | 920-391-4700
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Fax | 920-391-4870
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Authorized Official
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Title or Position | BEHAVIORAL HEALTH SUPERVISOR
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Name | ELIZA LUCHTERHAND-KILLIAN
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Credential |
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Telephone | 920-391-4816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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