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General NPI Number Information
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NPI Number | 1871530394
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Entity Type | Individual
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Provider Name | MYRNA SOLGANICK
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Gender | Female
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1460 W MAIN ST SUITE 6
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City | SUN PRAIRIE
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State | WI
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Zip | 53590-1846
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Country | US
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Telephone | 608-837-4814
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Fax |
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Provider Business Mailing Address
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Address Line | 2945 MARINA DR
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City | MIDDLETON
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State | WI
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Zip | 53562-1823
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 517
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2939
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License Number State | WI
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