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General NPI Number Information
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NPI Number | 1376975136
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Entity Type | Individual
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Provider Name | LINDA WRIGHT SKOUG LPC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 615 S 8TH ST
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City | SHEBOYGAN
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State | WI
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Zip | 53081-4463
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Country | US
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Telephone | 920-323-7742
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Fax |
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Provider Business Mailing Address
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Address Line | 19207 N 67TH DR
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City | GLENDALE
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State | AZ
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Zip | 85308-5708
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Country | US
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Telephone | 623-210-2573
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2551-125
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License Number State | WI
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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 | LAC-12814
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 07-087
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License Number State |
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