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General NPI Number Information
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NPI Number | 1427942291
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Entity Type | Individual
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Provider Name | SHEILA WOODKE
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Gender |
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 420 E GREEN BAY ST STE 101
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City | SHAWANO
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State | WI
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Zip | 54166-2500
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Country | US
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Telephone | 715-201-0361
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Fax |
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Provider Business Mailing Address
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Address Line | 9198A THRALL RD
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City | WOODRUFF
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State | WI
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Zip | 54568-9329
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Country | US
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Telephone | 715-439-4377
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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