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General NPI Number Information
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NPI Number | 1720415631
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Entity Type | Individual
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Provider Name | CAROL KUHLOW MS LPC
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Gender | Female
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Dates
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Enumeration Date | 10/09/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 2321 E CAPITOL DR # 400
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City | SHOREWOOD
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State | WI
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Zip | 53211-2119
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Country | US
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Telephone | 920-564-2625
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Fax |
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Provider Business Mailing Address
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Address Line | W 4580 COUNTY ROAD IW
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City | WALDO
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State | WI
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Zip | 53093
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Country | US
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Telephone | 920-564-2625
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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 | 4488-125
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License Number State | WI
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