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NPI 1912417833

NPI 1912417833 : MARGARET MARIE SCHULTZ MS, NCC : BEAVER DAM, WI

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General NPI Number Information
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    NPI Number           |    1912417833
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    Entity Type          |    Individual 
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    Provider Name        |    MARGARET MARIE SCHULTZ MS, NCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/05/2017
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    Last Update Date     |    10/05/2017
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Provider Practice Location Address
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    Address Line         |    111 WARREN ST STE 2 
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    City                 |    BEAVER DAM
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    State                |    WI
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    Zip                  |    53916-3084
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    Country              |    US
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    Telephone            |    920-219-4440
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    Fax                  |    920-219-4553
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Provider Business Mailing Address
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    Address Line         |    426 N OAK CREST DR 
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    City                 |    WALES
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    State                |    WI
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    Zip                  |    53183-9417
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    Country              |    US
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    Telephone            |    262-361-2220
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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