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General NPI Number Information
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NPI Number | 1548538275
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Entity Type | Organization
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Legal Business Name | OPTIONS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 9433 COUNTY RD J
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City | MINOCQUA
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State | WI
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Zip | 54548-9318
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Country | US
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Telephone | 715-356-5377
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Fax | 715-356-5378
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Provider Business Mailing Address
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Address Line | PO BOX 27
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City | MINOCQUA
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State | WI
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Zip | 54548-0027
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Country | US
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Telephone | 715-356-5377
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Fax | 715-356-5378
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Authorized Official
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Title or Position | CO-DIRECTOR/MEMBER
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Name | STACY WEBB
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Credential | RN, CSAC, ICS
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Telephone | 920-470-1989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | WI
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