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General NPI Number Information
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NPI Number | 1528319985
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Entity Type | Individual
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Provider Name | JODI BRIGHT LPC
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Gender | Female
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 4330 GOLF TER STE 205C
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City | EAU CLAIRE
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State | WI
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Zip | 54701-4688
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Country | US
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Telephone | 715-598-1563
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Fax |
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Provider Business Mailing Address
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Address Line | 11314 200TH ST
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City | JIM FALLS
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State | WI
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Zip | 54748-1708
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Country | US
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Telephone | 715-864-1187
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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 | 5351-125
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License Number State | WI
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