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General NPI Number Information
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NPI Number | 1669706107
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Entity Type | Individual
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Provider Name | ERIKA LEE GARZA MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 10/01/2009
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 510 HARTBROOK DR SUITE 201
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City | HARTLAND
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State | WI
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Zip | 53029-1440
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Country | US
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Telephone | 262-528-2015
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Fax |
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Provider Business Mailing Address
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Address Line | 2137 S ALDRICH ST
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City | MILWAUKEE
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State | WI
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Zip | 53207-1301
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Country | US
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Telephone | 312-714-4774
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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 | 5606-125
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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