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General NPI Number Information
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NPI Number | 1245156991
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Entity Type | Individual
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Provider Name | CLAIR GILLE
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Gender |
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 730 SWEDE AVE
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City | TURTLE LAKE
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State | WI
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Zip | 54889
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Country | US
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Telephone | 715-986-2599
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27
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City | TURTLE LAKE
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State | WI
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Zip | 54889-0027
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Country | US
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Telephone | 715-986-2599
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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 | 9064-226
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License Number State | WI
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