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General NPI Number Information
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NPI Number | 1477883627
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Entity Type | Individual
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Provider Name | DANA LEE STROHM MSW
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Gender | Male
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Dates
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Enumeration Date | 01/11/2010
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Last Update Date | 01/11/2010
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Provider Practice Location Address
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Address Line | 2411 MAGNOLIA DR
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City | PLOVER
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State | WI
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Zip | 54467-2951
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Country | US
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Telephone | 715-254-5844
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Fax |
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Provider Business Mailing Address
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Address Line | 2411 MAGNOLIA DR
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City | PLOVER
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State | WI
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Zip | 54467-2951
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Country | US
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Telephone | 414-803-6372
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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 | 127906-121
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License Number State | WI
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