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General NPI Number Information
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NPI Number | 1831048727
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Entity Type | Organization
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Legal Business Name | SHAPINGFACTORS
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Dates
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Enumeration Date | 01/24/2026
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 121 E SILVER SPRING DR
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City | WHITEFISH BAY
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State | WI
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Zip | 53217-4762
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Country | US
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Telephone | 414-502-9106
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Fax | 414-296-1308
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Provider Business Mailing Address
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Address Line | 121 E SILVER SPRING DR
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City | WHITEFISH BAY
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State | WI
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Zip | 53217-4762
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Country | US
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Telephone | 414-502-9106
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MR. PAUL C MUHAMMAD
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Credential |
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Telephone | 414-502-9106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 #3
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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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