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General NPI Number Information
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NPI Number | 1427423706
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Entity Type | Individual
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Provider Name | KAYLA RINKEL
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Gender | Female
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Dates
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Enumeration Date | 12/11/2015
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 1118 HEART LAKE RD
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City | SHELL LAKE
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State | WI
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Zip | 54871
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Country | US
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Telephone | 715-441-8014
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Fax |
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Provider Business Mailing Address
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Address Line | 808 CARMICHAEL RD # 265
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City | HUDSON
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State | WI
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Zip | 54016-7759
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Country | US
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Telephone | 715-441-8014
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1176-124
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License Number State | WI
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