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General NPI Number Information
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NPI Number | 1275332801
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Entity Type | Organization
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Legal Business Name | SPHAIRA WELLNESS LLC AMY FFIFIELD
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 1800 FREEDOM RD STE A
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City | LITTLE CHUTE
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State | WI
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Zip | 54140-3200
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Country | US
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Telephone | 920-460-9009
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 FREEDOM RD STE A
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City | LITTLE CHUTE
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State | WI
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Zip | 54140-3200
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Country | US
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Telephone | 920-460-9009
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/OWNER
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Name | AMY FIFIELD
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Credential | MA LPC
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Telephone | 920-209-6617
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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 |
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License Number State |
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