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General NPI Number Information
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NPI Number | 1972823938
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Entity Type | Organization
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Legal Business Name | PATHFINDERS
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 08/02/2010
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Provider Practice Location Address
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Address Line | 4200 N HOLTON ST STE 400
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City | MILWAUKEE
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State | WI
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Zip | 53212-1064
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Country | US
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Telephone | 414-964-2565
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Fax |
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Provider Business Mailing Address
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Address Line | 4200 N. HOLTON STREET SUITE 400
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City | MILWAUKEE
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State | WI
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Zip | 53212-1064
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Country | US
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Telephone | 414-964-2565
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Fax | 414-964-0102
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. CATHERINE ARNEY
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Credential | LCSW, LMFT
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Telephone | 414-964-2565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 4395-125
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License Number State | WI
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