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General NPI Number Information
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NPI Number | 1518731173
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Entity Type | Organization
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Legal Business Name | KABBA INCORPORATED
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 2001 W BROADWAY STE 2
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City | MONONA
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State | WI
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Zip | 53713-3707
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Country | US
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Telephone | 608-291-5024
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Fax |
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Provider Business Mailing Address
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Address Line | 1955 W BROADWAY STE 102
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City | MONONA
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State | WI
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Zip | 53713-3700
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SARA ALLEE-JATTA
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Credential | CSAC, ICS
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Telephone | 608-291-5024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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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 |
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License Number State |
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