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General NPI Number Information
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NPI Number | 1528502754
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Entity Type | Individual
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Provider Name | JESSICA MARIE BLATZ
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Gender | Female
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 809 PARK AVEUNE
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City | BEAVER DAM
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State | WI
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Zip | 53916
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Country | US
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Telephone | 920-877-3171
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Fax |
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Provider Business Mailing Address
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Address Line | 817 CLEVELAND ST
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City | KIEL
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State | WI
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Zip | 53042-1232
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Country | US
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Telephone | 920-306-3188
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | WI
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