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General NPI Number Information
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NPI Number | 1366328320
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Entity Type | Organization
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Legal Business Name | DEER PATH INTEGRATED, INC.
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | N9895 18TH AVE
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City | NECEDAH
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State | WI
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Zip | 54646-8056
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Country | US
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Telephone | 608-565-3700
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Fax | 608-572-7997
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | NECEDAH
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State | WI
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Zip | 54646-0010
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Country | US
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Telephone | 608-565-3700
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Fax | 608-572-7997
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERICA FALK-HUZAR
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Credential | PSYD
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Telephone | 608-547-4444
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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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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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