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General NPI Number Information
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NPI Number | 1538071857
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Entity Type | Individual
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Provider Name | NICOLE LYNNE NORRIS MS, MFT-IT
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Gender | Female
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 2801 INTERNATIONAL LN STE 207
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City | MADISON
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State | WI
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Zip | 53704-3152
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Country | US
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Telephone | 608-520-6207
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Fax |
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Provider Business Mailing Address
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Address Line | 5318 HOBOKEN RD
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City | MADISON
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State | WI
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Zip | 53713-3706
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Country | US
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Telephone | 608-886-9413
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1231-228
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License Number State | WI
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