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General NPI Number Information
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NPI Number | 1912748674
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Entity Type | Organization
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Legal Business Name | EVERY LITTLE FIBER LLC
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 120 BISHOPS WAY STE 156
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City | BROOKFIELD
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State | WI
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Zip | 53005-6271
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Country | US
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Telephone | 815-651-6174
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 N 124TH ST
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City | BROOKFIELD
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State | WI
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Zip | 53005-3803
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Country | US
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Telephone | 815-651-6174
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TAYLOR ASHLEY PRELLBERG
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Credential | RD
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Telephone | 815-651-6174
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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