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General NPI Number Information
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NPI Number | 1396395893
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Entity Type | Individual
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Provider Name | EMILY HUSS LISW
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Gender | Female
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Dates
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Enumeration Date | 09/17/2019
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 616 KELLOGG AVE
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City | AMES
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State | IA
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Zip | 50010-6230
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Country | US
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Telephone | 515-333-1789
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Fax |
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Provider Business Mailing Address
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Address Line | 1957 NE 126TH AVE
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City | ALLEMAN
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State | IA
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Zip | 50007-9705
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Country | US
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Telephone | 515-520-7407
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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 | 077586
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License Number State | IA
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