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General NPI Number Information
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NPI Number | 1154145506
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Entity Type | Individual
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Provider Name | CASEY HAMILTON APSW
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | N80W13004 FOND DU LAC AVE APT 29
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-7204
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Country | US
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Telephone | 262-412-3030
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Fax |
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Provider Business Mailing Address
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Address Line | N80W13004 FOND DU LAC AVE APT 29
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-7204
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Country | US
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Telephone | 262-412-3030
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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 | 135183121
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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