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General NPI Number Information
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NPI Number | 1164819009
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Entity Type | Organization
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Legal Business Name | JILL T BUTTERFIELD MS, ATRL-BC LLC
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Dates
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Enumeration Date | 04/17/2015
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | 19275 W CAPITOL DR SUITE 200
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City | BROOKFIELD
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State | WI
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Zip | 53045-2742
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Country | US
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Telephone | 262-224-1422
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Fax |
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Provider Business Mailing Address
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Address Line | 19275 W CAPITOL DR SUITE 200
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City | BROOKFIELD
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State | WI
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Zip | 53045-2742
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Country | US
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Telephone | 262-224-1422
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOTHERAPIST
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Name | MRS. JILL T BUTTERFIELD
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Credential | MS, ATRL-BC
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Telephone | 262-224-1422
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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 | 68036
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License Number State | WI
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