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General NPI Number Information
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NPI Number | 1194688564
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Entity Type | Organization
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Legal Business Name | SHEILA FUNK-JANSEN
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2435 KIMBERLY RD STE 10N
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City | BETTENDORF
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State | IA
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Zip | 52722-3572
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Country | US
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Telephone | 660-216-1580
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Fax |
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Provider Business Mailing Address
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Address Line | 1119 BERG PL
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City | DAVENPORT
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State | IA
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Zip | 52804-1840
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Country | US
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Telephone | 660-216-1580
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Fax | 660-216-1580
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Authorized Official
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Title or Position | LICENSED INDEPENDENT SOCIAL WORKER
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Name | SHEILA ANN FUNK-JANSEN
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Credential | LISW, LCSW
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Telephone | 660-216-1580
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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 |
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License Number State |
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