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General NPI Number Information
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NPI Number | 1194281089
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Entity Type | Individual
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Provider Name | ABBEY DAWN KURTZ MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 02/15/2019
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 8825 S HOWELL AVE STE 200
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City | OAK CREEK
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State | WI
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Zip | 53154-3760
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Country | US
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Telephone | 414-215-7554
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Fax |
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Provider Business Mailing Address
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Address Line | 916 MICHIGAN AVE
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City | SOUTH MILWAUKEE
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State | WI
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Zip | 53172-2626
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4274-226
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8108-125
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License Number State | WI
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