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General NPI Number Information
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NPI Number | 1578018529
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Entity Type | Individual
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Provider Name | COLLEEN W BAIRD LPC
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Gender | Female
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Dates
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Enumeration Date | 08/19/2016
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 5555 N PORT WASHINGTON RD STE 200
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City | GLENDALE
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State | WI
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Zip | 53217-4927
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Country | US
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Telephone | 262-789-1191
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Fax |
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Provider Business Mailing Address
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Address Line | 5450 N LYDELL AVE
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City | WHITEFISH BAY
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State | WI
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Zip | 53217-5005
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Country | US
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Telephone | 608-692-1254
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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 | 5998
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License Number State | WI
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