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General NPI Number Information
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NPI Number | 1235499831
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Entity Type | Organization
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Legal Business Name | T. QUEST,INC.
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 3238 SPRING VALLEY RD
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City | DODGEVILLE
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State | WI
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Zip | 53533-8850
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Country | US
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Telephone | 608-588-5578
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Fax |
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Provider Business Mailing Address
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Address Line | 3238 SPRING VALLEY RD
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City | DODGEVILLE
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State | WI
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Zip | 53533-8850
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Country | US
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Telephone | 608-588-5578
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | MS. KATHRYN E QUEST
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Credential |
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Telephone | 608-588-5578
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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 | 2743123
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License Number State | WI
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