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General NPI Number Information
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NPI Number | 1164294088
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE EVALUATIONS, LLC
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 20700 WATERTOWN RD STE 100
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City | WAUKESHA
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State | WI
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Zip | 53186-1800
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Country | US
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Telephone | 414-376-8063
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Fax |
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Provider Business Mailing Address
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Address Line | 20700 WATERTOWN RD STE 100
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City | WAUKESHA
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State | WI
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Zip | 53186-1800
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Country | US
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Telephone | 262-933-4024
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE KLEPP
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Credential | PSY.D.
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Telephone | 262-933-4024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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