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General NPI Number Information
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NPI Number | 1508119652
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Entity Type | Individual
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Provider Name | AMY E SCHWABE L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2012
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 10303 N PORT WASHINGTON RD STE 203
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City | MEQUON
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State | WI
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Zip | 53092-5760
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Country | US
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Telephone | 262-893-7251
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Fax |
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Provider Business Mailing Address
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Address Line | 244 QUAIL CIR
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City | WEST BEND
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State | WI
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Zip | 53095-7900
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Country | US
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Telephone | 262-893-7251
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4905-125
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License Number State | WI
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