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General NPI Number Information
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NPI Number | 1316580871
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Entity Type | Organization
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Legal Business Name | NAVIGATE WELLNESS HEALTH GROUP, LLC
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Dates
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Enumeration Date | 10/28/2019
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 11520 N PORT WASHINGTON RD STE 101B
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City | MEQUON
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State | WI
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Zip | 53092-3432
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Country | US
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Telephone | 262-365-9825
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Fax |
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Provider Business Mailing Address
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Address Line | 11520 N PORT WASHINGTON RD STE 101B
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City | MEQUON
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State | WI
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Zip | 53092-3432
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Country | US
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Telephone | 262-365-9825
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LAURA SKINNER
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Credential | LPC
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Telephone | 262-388-7406
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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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