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General NPI Number Information
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NPI Number | 1184596488
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Entity Type | Organization
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Legal Business Name | TALBERT MENTAL HEALTH LLC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2848 MEMORIAL DR STE 11
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City | TWO RIVERS
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State | WI
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Zip | 54241-3639
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Country | US
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Telephone | 920-873-5552
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Fax | 920-873-5533
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Provider Business Mailing Address
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Address Line | 2848 MEMORIAL DR STE 11
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City | TWO RIVERS
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State | WI
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Zip | 54241-3639
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Country | US
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Telephone | 920-873-5552
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Fax | 920-873-5533
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Authorized Official
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Title or Position | PMHNP
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Name | KERRY ANN TALBERT
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Credential |
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Telephone | 920-873-5552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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