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General NPI Number Information
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NPI Number | 1124150818
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Entity Type | Individual
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Provider Name | MICHAEL A WEISER MSW
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Gender | Male
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 233 E LA SALLE AVENUE
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City | BARRON
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State | WI
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Zip | 54812
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Country | US
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Telephone | 715-832-5454
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Fax | 715-832-2991
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Provider Business Mailing Address
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Address Line | 2005 HIGHLAND AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-4455
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Country | US
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Telephone | 715-832-5454
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Fax | 715-832-2991
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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 | 1435123
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License Number State | WI
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