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General NPI Number Information
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NPI Number | 1831557065
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Entity Type | Individual
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Provider Name | ARNITTA HOLLIMAN MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 02/02/2016
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Last Update Date | 12/18/2018
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Provider Practice Location Address
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Address Line | 6789 N GREEN BAY AVE # U14
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City | GLENDALE
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State | WI
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Zip | 53209-3472
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Country | US
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Telephone | 414-367-9298
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Fax |
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Provider Business Mailing Address
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Address Line | N91W16015 JUNCTION WAY APT 212
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-3160
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Country | US
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Telephone | 414-803-0849
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6748-125
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral 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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6748-125
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6748-125
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License Number State | WI
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