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General NPI Number Information
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NPI Number | 1194809574
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Entity Type | Organization
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Legal Business Name | NORTH SHORE PSYCHOTHERAPY ASSOCIATES IV
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 5555 N PORT WASHINGTON RD STE 300
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City | GLENDALE
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State | WI
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Zip | 53217-4928
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Country | US
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Telephone | 414-962-6764
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Fax | 414-962-6765
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Provider Business Mailing Address
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Address Line | 5555 N PORT WASHINGTON RD STE 300
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City | GLENDALE
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State | WI
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Zip | 53217-4928
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Country | US
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Telephone | 414-962-6764
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Fax | 414-962-6765
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Authorized Official
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Title or Position | CO DIRECTOR
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Name | MS. SHERYL DOLEZAL
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Credential | PSYD
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Telephone | 414-962-6764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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