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General NPI Number Information
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NPI Number | 1013078518
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Entity Type | Individual
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Provider Name | DANIEL E HERMSEN LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | W231 N1440 CORPORATE COURT SUITE 310
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City | WAUKESHA
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State | WI
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Zip | 53186-1301
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Country | US
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Telephone | 282-896-6186
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Fax | 262-896-6139
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Provider Business Mailing Address
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Address Line | W231 N1440 CORPORATE COURT SUITE 310
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City | WAUKESHA
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State | WI
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Zip | 53186-1303
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Country | US
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Telephone | 262-896-6186
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Fax | 262-896-6139
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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 | 11162
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3457-123
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3457
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License Number State | WI
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