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General NPI Number Information
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NPI Number | 1659230498
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Entity Type | Individual
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Provider Name | ELI MANDEL LPC-IT
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Gender | Male
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 414 S EAST AVE
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City | VIROQUA
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State | WI
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Zip | 54665-2006
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Country | US
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Telephone | 608-638-3332
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Fax |
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Provider Business Mailing Address
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Address Line | 43185 GUTHRIE RD # 3
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City | GAYS MILLS
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State | WI
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Zip | 54631-8266
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Country | US
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Telephone | 608-632-4213
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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 | 8857-226
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License Number State | WI
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