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General NPI Number Information
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NPI Number | 1811486913
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Entity Type | Individual
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Provider Name | MS. EDIE ELLEN ARNESON
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Gender | Female
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Dates
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Enumeration Date | 05/03/2018
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 165 N CENTRAL AVE
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City | RICHLAND CENTER
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State | WI
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Zip | 53581-2253
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Country | US
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Telephone | 608-521-0553
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Fax |
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Provider Business Mailing Address
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Address Line | 15434 COUNTY HIGHWAY A
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City | VIOLA
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State | WI
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Zip | 54664-8922
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Country | US
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Telephone | 608-438-4141
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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 | 7508-125
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License Number State | WI
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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 | 3132-226
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License Number State | WI
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