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General NPI Number Information
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NPI Number | 1295412377
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Entity Type | Organization
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Legal Business Name | TAMMY NARANCE LPC SC
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | W7185 WI-49
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City | WAUPUN
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State | WI
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Zip | 53963-1226
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Country | US
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Telephone | 608-218-4597
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Fax |
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Provider Business Mailing Address
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Address Line | 800 SUNSET CT
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City | WAUPUN
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State | WI
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Zip | 53963-1226
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Country | US
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Telephone | 920-382-4324
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAMMY SUE-VERHAGE NARANCE
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Credential | LPC
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Telephone | 920-382-4324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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