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General NPI Number Information
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NPI Number | 1548283047
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Entity Type | Individual
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Provider Name | KAREN SCHWOEBEL JOHNSON MS
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 2202 HUGHITT AVE
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City | SUPERIOR
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State | WI
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Zip | 54880
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Country | US
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Telephone | 218-341-9485
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Fax |
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Provider Business Mailing Address
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Address Line | 2202 HUGHITT AVE
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City | SUPERIOR
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State | WI
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Zip | 54880-4919
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Country | US
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Telephone | 218-341-9485
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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 |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1790
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License Number State | MN
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