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General NPI Number Information
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NPI Number | 1386877199
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Entity Type | Individual
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Provider Name | JUDITH ANN NEMMERS L.I.S.W.
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Gender | Female
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Dates
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Enumeration Date | 08/26/2009
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Last Update Date | 09/24/2009
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Provider Practice Location Address
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Address Line | 1824 CENTRAL AVE
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City | DUBUQUE
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State | IA
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Zip | 52001-3609
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Country | US
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Telephone | 563-588-2227
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Fax | 563-588-2018
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Provider Business Mailing Address
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Address Line | 6306 KIOWA CT
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City | DUBUQUE
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State | IA
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Zip | 52002-9682
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Country | US
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Telephone | 563-451-6139
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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 | 02615
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License Number State | IA
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