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General NPI Number Information
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NPI Number | 1699267245
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Entity Type | Individual
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Provider Name | STEPHENIE M GILBERT B.S
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Gender | Female
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 1955 W BROADWAY STE 105
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City | MONONA
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State | WI
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Zip | 53713-3700
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Country | US
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Telephone | 608-514-1632
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Fax |
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Provider Business Mailing Address
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Address Line | 5263 BISHOPS BAY PKWY UNIT 110
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City | MIDDLETON
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State | WI
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Zip | 53597-8805
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Country | US
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Telephone | 941-448-0093
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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 |
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License Number State |
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Taxonomy #2
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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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