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General NPI Number Information
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NPI Number | 1235394834
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Entity Type | Individual
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Provider Name | S. DAVID AARDAPPEL MSW
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Gender | Male
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 5934 S BUSINESS DR
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City | SHEBOYGAN
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State | WI
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Zip | 53081-8914
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Country | US
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Telephone | 920-459-9277
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Fax | 920-459-7920
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Provider Business Mailing Address
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Address Line | 901 CENTER ST
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City | CLEVELAND
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State | WI
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Zip | 53015-1527
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Country | US
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Telephone | 920-693-8264
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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 | 1582-123
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License Number State | WI
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