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General NPI Number Information
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NPI Number | 1831006428
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Entity Type | Individual
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Provider Name | JENESSA PATTERSON
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Gender | Female
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 12021 W FLORIST AVE
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City | MILWAUKEE
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State | WI
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Zip | 53225-2119
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Country | US
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Telephone | 414-393-2233
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Fax |
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Provider Business Mailing Address
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Address Line | N70W23680 PRIDES RD
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City | SUSSEX
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State | WI
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Zip | 53089-2757
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Country | US
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Telephone |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 3001026173
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License Number State | WI
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