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General NPI Number Information
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NPI Number | 1487178984
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Entity Type | Organization
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Legal Business Name | FAMILY PSYCHIATRIC CARE, LLC
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1010 35TH ST
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City | KENOSHA
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State | WI
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Zip | 53140-1902
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Country | US
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Telephone | 262-725-4426
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Fax | 262-299-7136
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Provider Business Mailing Address
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Address Line | 1010 35TH ST
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City | KENOSHA
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State | WI
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Zip | 53140-1902
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Country | US
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Telephone | 262-725-4426
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Fax | 262-299-7136
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Authorized Official
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Title or Position | CO-OWNER
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Name | MS. ALYSSA M SKALITZKY
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Credential | APNP
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Telephone | 920-420-6333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3667-033
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License Number State | WI
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