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General NPI Number Information
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NPI Number | 1932795499
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Entity Type | Individual
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Provider Name | PAHOUA XIONG LPC
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Gender | Female
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Dates
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Enumeration Date | 12/17/2020
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 6025 N GREEN BAY AVE FL 2
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City | GLENDALE
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State | WI
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Zip | 53209-3811
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Country | US
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Telephone | 414-247-0801
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Fax | 414-247-0816
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Provider Business Mailing Address
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Address Line | PO BOX 148
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City | BUTLER
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State | WI
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Zip | 53007-0148
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Country | US
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Telephone | 141-247-0801
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Fax | 141-247-0806
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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 | 4845
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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 | 10489-125
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License Number State | WI
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