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General NPI Number Information
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NPI Number | 1831058650
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Entity Type | Individual
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Provider Name | REBECCA LANAE THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 01/17/2026
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 601 N 5TH ST STE 8
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City | SHEBOYGAN
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State | WI
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Zip | 53081-4623
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Country | US
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Telephone | 920-838-1481
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Fax | 800-700-4809
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Provider Business Mailing Address
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Address Line | 2209 BROADWAY AVE
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City | SHEBOYGAN
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State | WI
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Zip | 53081-5517
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Country | US
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Telephone | 920-838-1481
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Fax | 888-700-4809
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12704-123
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License Number State | WI
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