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General NPI Number Information
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NPI Number | 1770284929
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Entity Type | Individual
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Provider Name | ANDREA MARTEL
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Gender | Female
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Dates
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Enumeration Date | 03/14/2023
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 310 N MIDVALE BLVD STE 202
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City | MADISON
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State | WI
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Zip | 53705-3265
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Country | US
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Telephone | 608-238-9991
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Fax |
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Provider Business Mailing Address
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Address Line | 725 W LINCOLN ST APT 2
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City | WAUPUN
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State | WI
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Zip | 53963-1768
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Country | US
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Telephone | 920-319-2024
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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 | 101YM0800X
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Taxonomy Name | Mental Health 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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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