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General NPI Number Information
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NPI Number | 1013571967
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Entity Type | Individual
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Provider Name | JUSTINE FUHRMANN
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Gender | Female
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 12166 OLD BIG BEND RD STE 204
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City | KIRKWOOD
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State | MO
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Zip | 63122-6836
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Country | US
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Telephone | 314-822-8888
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Fax | 888-909-9204
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Provider Business Mailing Address
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Address Line | 12166 OLD BIG BEND RD STE 204
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City | KIRKWOOD
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State | MO
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Zip | 63122-6836
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Country | US
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Telephone | 314-822-8888
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Fax | 888-909-9204
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33009200A
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License Number State | IN
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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 | 2021015988
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License Number State | MO
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