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General NPI Number Information
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NPI Number | 1437779667
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Entity Type | Individual
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Provider Name | KASSIE WYNNE SCORZA MSW
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Gender | Female
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 147 S MAIN AVE
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City | SIOUX CENTER
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State | IA
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Zip | 51250-1535
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Country | US
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Telephone | 712-363-8076
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Fax |
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Provider Business Mailing Address
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Address Line | 303 1ST ST NE
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City | ORANGE CITY
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State | IA
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Zip | 51041-2141
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Country | US
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Telephone | 712-330-9583
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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 | 086453
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License Number State | IA
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