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General NPI Number Information
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NPI Number | 1386810984
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Entity Type | Organization
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Legal Business Name | MARRIAGE & FAMILY HEALTH SERVICES, LTD
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 501 S CHERRY AVE
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City | MARSHFIELD
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State | WI
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Zip | 54449-4263
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Country | US
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Telephone | 715-486-8302
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Fax | 715-486-9253
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Provider Business Mailing Address
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Address Line | 2925 MONDOVI RD
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6141
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Country | US
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Telephone | 715-832-0238
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Fax | 715-832-0771
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | DR. THOMAS E JOHNSTON
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Credential | PHD
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Telephone | 715-832-0238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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