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General NPI Number Information
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NPI Number | 1235951286
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Entity Type | Individual
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Provider Name | PAMELA K SCHIEFFER CSAC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 3910 W LISBON AVE
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City | MILWAUKEE
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State | WI
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Zip | 53208-1834
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Country | US
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Telephone | 414-455-0672
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Fax |
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Provider Business Mailing Address
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Address Line | 5219 W HOWARD AVE APT 4
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City | MILWAUKEE
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State | WI
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Zip | 53220-2067
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Country | US
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Telephone | 414-935-8086
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 17147132
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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 | 135156121
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License Number State | WI
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