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General NPI Number Information
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NPI Number | 1588598494
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Entity Type | Individual
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Provider Name | CARISSA ANNE GUAGLIARDO
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Gender | Female
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | N132W18473 ROCKFIELD RD
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City | GERMANTOWN
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State | WI
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Zip | 53022-1165
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Country | US
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Telephone | 262-628-7622
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Fax |
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Provider Business Mailing Address
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Address Line | N104W13840 DONGES BAY RD
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City | GERMANTOWN
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State | WI
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Zip | 53022-4430
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Country | US
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Telephone | 262-253-3900
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 3001023327
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License Number State | WI
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