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General NPI Number Information
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NPI Number | 1245984996
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Entity Type | Individual
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Provider Name | DOMINIQUE BALDERAS LPC
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Gender | Female
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | W317S3439 STATE ROAD 83 APT B
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City | WAUKESHA
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State | WI
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Zip | 53189-9428
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Country | US
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Telephone | 414-759-5247
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Fax |
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Provider Business Mailing Address
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Address Line | W317S3439 STATE ROAD 83 APT B
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City | WAUKESHA
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State | WI
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Zip | 53189-9428
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Country | US
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Telephone | 414-759-5247
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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 | 19426
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11434125
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License Number State | WI
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