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General NPI Number Information
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NPI Number | 1396504395
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Entity Type | Individual
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Provider Name | EMILY FUMO VANDERHOEF
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Gender | Female
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Dates
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Enumeration Date | 03/13/2024
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 8800 WASHINGTON AVE STE 300
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City | MOUNT PLEASANT
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State | WI
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Zip | 53406-3705
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Country | US
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Telephone | 262-633-3591
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Fax | 262-633-2619
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Provider Business Mailing Address
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Address Line | 7921 W DAKOTA ST
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City | WEST ALLIS
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State | WI
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Zip | 53219-2723
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Country | US
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Telephone | 262-617-5364
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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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