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General NPI Number Information
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NPI Number | 1174331565
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Entity Type | Individual
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Provider Name | LESLIE SCHILL
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Gender | Female
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 6674 RONALD REAGAN AVE
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City | MADISON
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State | WI
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Zip | 53704-2395
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Country | US
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Telephone | 608-556-6120
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Fax |
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Provider Business Mailing Address
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Address Line | 806 PINEWOOD CT APT 11
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City | MADISON
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State | WI
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Zip | 53714-3548
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Country | US
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Telephone | 608-504-8216
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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