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General NPI Number Information
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NPI Number | 1417679614
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Entity Type | Individual
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Provider Name | SARA TAYLOR-NIEMANN MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 2620 STEIN BLVD
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City | EAU CLAIRE
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State | WI
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Zip | 54701-2672
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Country | US
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Telephone | 715-836-0064
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Fax | 715-836-0065
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Provider Business Mailing Address
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Address Line | 2620 STEIN BLVD STE B
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City | EAU CLAIRE
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State | WI
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Zip | 54701-2674
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Country | US
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Telephone | 715-836-0064
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Fax | 715-836-0065
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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 | 134700-121
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12664-123
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 7559T
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License Number State | AZ
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