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General NPI Number Information
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NPI Number | 1043021322
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Entity Type | Individual
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Provider Name | HAYLEE ERIN SPRONK MSW
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Gender | Female
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 326 E US HIGHWAY 30
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City | SCHERERVILLE
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State | IN
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Zip | 46375-2654
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Country | US
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Telephone | 219-323-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 11661 SANDPIPER ST
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City | DEMOTTE
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State | IN
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Zip | 46310-8468
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Country | US
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Telephone | 507-227-6992
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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 | 33011004A
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License Number State | IN
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