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General NPI Number Information
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NPI Number | 1174409569
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Entity Type | Organization
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Legal Business Name | SCHOLL COMMUNITY IMPACT GROUP, INC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 13141 OLD W ROAD
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City | WINCHESTER
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State | WI
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Zip | 54557-8985
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Country | US
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Telephone | 715-493-3534
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Fax |
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Provider Business Mailing Address
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Address Line | 13141 OLD W ROAD
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City | WINCHESTER
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State | WI
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Zip | 54557-8985
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Country | US
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Telephone | 715-493-3534
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, SCHOLL COMMUNITY IMPACT
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Name | MS. LENELLE MAE SCHOLL
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Credential |
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Telephone | 715-493-3534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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