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General NPI Number Information
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NPI Number | 1356668024
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Entity Type | Individual
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Provider Name | NOEL L'ESPERANCE DAT, ATR-BC, LPC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2010
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 325 E SILVER SPRING DR # 2FE
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City | GLENDALE
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State | WI
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Zip | 53217-5222
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Country | US
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Telephone | 920-379-2566
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Fax |
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Provider Business Mailing Address
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Address Line | 324 E SILVER SPRING DR # 2FE
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City | GLENDALE
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State | WI
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Zip | 53217-5221
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Country | US
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Telephone | 920-379-2566
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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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 | 4921
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License Number State | WI
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