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General NPI Number Information
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NPI Number | 1639726557
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Entity Type | Individual
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Provider Name | MRS. PAULA MARIE TESTIN
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Gender | Female
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1409 CLEVELAND AVE
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City | MARINETTE
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State | WI
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Zip | 54143-3918
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Country | US
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Telephone | 920-498-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 CLEVELAND AVE
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City | MARINETTE
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State | WI
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Zip | 54143-3918
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Country | US
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Telephone | 715-587-7459
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 17297-132
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License Number State | WI
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