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General NPI Number Information
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NPI Number | 1013601368
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Entity Type | Individual
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Provider Name | HEATHER C BRAUMANN CAPSW
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Gender | Female
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 111 N MAIN ST STE 100
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City | JANESVILLE
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State | WI
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Zip | 53545-3072
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Country | US
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Telephone | 608-580-0031
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Fax |
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Provider Business Mailing Address
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Address Line | 720 VIOLET ST
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City | JANESVILLE
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State | WI
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Zip | 53546-2413
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Country | US
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Telephone | 608-208-0992
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Fax |
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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 | 134221-121
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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 | 12428-123
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License Number State | WI
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