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General NPI Number Information
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NPI Number | 1396547824
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Entity Type | Individual
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Provider Name | ANDREW JAMES SAUTER SARGENT LPC-IT
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Gender | Male
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 21 W OMAHA ST
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City | WASHBURN
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State | WI
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Zip | 54891-4557
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Country | US
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Telephone | 920-915-7548
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Fax |
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Provider Business Mailing Address
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Address Line | 24255 STATE HIGHWAY 13
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City | BAYFIELD
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State | WI
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Zip | 54814-4919
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Country | US
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Telephone | 920-915-7548
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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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 | 8361-226
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License Number State | WI
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