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General NPI Number Information
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NPI Number | 1235393125
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Entity Type | Individual
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Provider Name | NANCY REED MS
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Gender | Female
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 10/21/2019
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Provider Practice Location Address
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Address Line | 8800 WASHINGTON AVE STE 100
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City | MOUNT PLEASANT
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State | WI
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Zip | 53406-3705
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Country | US
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Telephone | 262-633-3591
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 W WISCONSIN AVE # MS 958
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City | MILWAUKEE
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State | WI
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Zip | 53226-4874
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Country | US
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Telephone | 414-266-4962
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 31-228
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 822-124
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License Number State | WI
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