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General NPI Number Information
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NPI Number | 1851402820
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Entity Type | Individual
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Provider Name | BRIAN WEXLER MSW, LPC, CADC-D
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 797 E GENEVA ST
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City | ELKHORN
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State | WI
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Zip | 53121-2303
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Country | US
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Telephone | 262-723-1455
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Fax | 262-723-1556
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Provider Business Mailing Address
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Address Line | 285 N JANACEK RD
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City | BROOKFIELD
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State | WI
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Zip | 53045-6102
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Country | US
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Telephone | 262-641-9050
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Fax | 262-641-9126
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 13626
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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 | 3352-125
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License Number State | WI
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