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General NPI Number Information
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NPI Number | 1144328774
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Entity Type | Individual
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Provider Name | WILLIAM NIEHAUS
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 500 POLK ST STE 6G
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City | GREENWOOD
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State | IN
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Zip | 46143-1647
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Country | US
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Telephone | 317-300-4214
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Fax |
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Provider Business Mailing Address
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Address Line | 6950 HILLSDALE COURT
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City | INDPLS
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State | IN
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Zip | 46250
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34008980A
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License Number State | IN
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