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General NPI Number Information
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NPI Number | 1114860186
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Entity Type | Individual
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Provider Name | KELLY JO SAUDER NEFF LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 1750 KILBOURN ST
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City | ELKHART
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State | IN
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Zip | 46514-1920
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Country | US
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Telephone | 574-501-3951
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Fax | 574-406-7514
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Provider Business Mailing Address
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Address Line | 57465 EMERALD CHASE LN
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City | GOSHEN
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State | IN
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Zip | 46528-6278
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Country | US
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Telephone | 419-906-0943
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Fax | 419-906-0943
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34012794A
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License Number State | IN
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