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General NPI Number Information
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NPI Number | 1609505239
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Entity Type | Individual
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Provider Name | STEVEN DALE NORDEEN CRC
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Gender | Male
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 9206 HONEY HARVEST LN
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City | VERONA
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State | WI
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Zip | 53593-8553
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Country | US
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Telephone | 281-814-0956
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Fax |
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Provider Business Mailing Address
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Address Line | 9206 HONEY HARVEST LN
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City | VERONA
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State | WI
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Zip | 53593-8553
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Country | US
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Telephone | 608-280-2700
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11226-125
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License Number State | WI
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