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General NPI Number Information
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NPI Number | 1588631691
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Entity Type | Organization
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Legal Business Name | COUNTY OF WAUPACA
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 811 HARDING ST
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City | WAUPACA
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State | WI
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Zip | 54981-2012
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Country | US
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Telephone | 715-258-6300
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Fax | 715-258-6409
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Provider Business Mailing Address
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Address Line | 811 HARDING ST
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City | WAUPACA
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State | WI
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Zip | 54981-2012
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Country | US
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Telephone | 715-258-6300
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Fax | 715-258-6409
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARY SOLHEIM
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Credential |
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Telephone | 715-258-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1977
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License Number State | WI
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