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General NPI Number Information
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NPI Number | 1275015661
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Entity Type | Organization
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Legal Business Name | GIFTS OF EMOTION, LLC
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 10/17/2018
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Provider Practice Location Address
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Address Line | 520 UNIVERSITY AVE STE 340
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City | MADISON
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State | WI
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Zip | 53703
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Country | US
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Telephone | 608-301-5708
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Fax | 608-729-3434
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Provider Business Mailing Address
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Address Line | 520 UNIVERSITY AVE STE 340
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City | MADISON
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State | WI
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Zip | 53703
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Country | US
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Telephone | 608-301-5708
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Fax | 608-729-3434
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. VALERIE ROSE BURNS
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Credential | MS, LPC, CSAC, NCC
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Telephone | 815-341-4378
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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 | 16142132
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6284-125
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License Number State | WI
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