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General NPI Number Information
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NPI Number | 1376899096
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Entity Type | Individual
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Provider Name | LAURI A DOEPKE LPC
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Gender | Female
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 734 ROSS AVE
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City | SCHOFIELD
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State | WI
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Zip | 54476-1860
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Country | US
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Telephone | 715-679-8350
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Fax | 414-622-3825
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Provider Business Mailing Address
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Address Line | 734 ROSS AVE
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City | SCHOFIELD
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State | WI
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Zip | 54476-1860
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Country | US
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Telephone | 715-679-8350
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Fax | 414-622-3825
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39001789A
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License Number State | IN
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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 | 4802-125
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License Number State | WI
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