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General NPI Number Information
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NPI Number | 1922951524
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Entity Type | Individual
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Provider Name | REBECCA MARY THIESFELDT MA
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Gender | Female
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 8060 N 60TH ST
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City | BROWN DEER
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State | WI
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Zip | 53223-3538
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Country | US
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Telephone | 414-371-6714
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Fax | 414-371-6796
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Provider Business Mailing Address
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Address Line | W156N8688 PILGRIM RD
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-3144
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Country | US
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Telephone | 262-853-0491
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Fax | 414-371-6796
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 616254
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License Number State | WI
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