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General NPI Number Information
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NPI Number | 1316454887
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Entity Type | Individual
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Provider Name | LAURA HARFST
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Gender | Female
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Dates
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Enumeration Date | 01/05/2018
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Last Update Date | 01/05/2018
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Provider Practice Location Address
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Address Line | 11414 W PARK PL STE 202
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City | MILWAUKEE
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State | WI
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Zip | 53224-3500
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Country | US
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Telephone | 414-255-4954
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Fax |
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Provider Business Mailing Address
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Address Line | 2240 N 65TH ST
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City | WAUWATOSA
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State | WI
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Zip | 53213-2034
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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 |
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License Number State |
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