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General NPI Number Information
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NPI Number | 1447553557
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Entity Type | Individual
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Provider Name | JOSEPH C BURCLAW LPC
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Gender | Male
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Dates
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Enumeration Date | 12/10/2010
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 279 ROSS AVE
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City | SCHOFIELD
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State | WI
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Zip | 54476-1869
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Country | US
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Telephone | 157-496-6273
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Fax | 715-650-9136
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Provider Business Mailing Address
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Address Line | 279 ROSS AVE
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City | SCHOFIELD
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State | WI
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Zip | 54476-1869
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Country | US
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Telephone | 157-496-6273
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Fax | 715-650-9136
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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 | 7691125
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 15785
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 3671-226
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 7691
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License Number State | WI
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