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General NPI Number Information
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NPI Number | 1457613127
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Entity Type | Individual
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Provider Name | ELIZABETH FAYE MCDOWELL LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/08/2012
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 323 S 18TH AVE
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City | STURGEON BAY
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State | WI
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Zip | 54235-1401
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Country | US
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Telephone | 920-746-0510
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Fax |
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Provider Business Mailing Address
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Address Line | 1745 ALFRED DR
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City | LUXEMBURG
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State | WI
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Zip | 54217-1364
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Country | US
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Telephone | 231-429-1226
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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 | 4101006668
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License Number State | MI
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Taxonomy #2
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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 |
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