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General NPI Number Information
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NPI Number | 1972680833
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Entity Type | Individual
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Provider Name | ALYONA CARAVELLA MSW, APSW, CSAC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 1126 S. 70TH STREET SUITE S-507
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City | WEST ALLIS
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State | WI
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Zip | 53214
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Country | US
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Telephone | 414-727-2789
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Fax | 414-476-8695
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Provider Business Mailing Address
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Address Line | 1126 S. 70TH STREET SUITE S-507
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City | WEST ALLIS
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State | WI
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Zip | 53214
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Country | US
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Telephone | 414-727-2789
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Fax | 414-476-8695
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 11560-132
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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 | 1943-121
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License Number State | WI
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