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General NPI Number Information
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NPI Number | 1497542955
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Entity Type | Individual
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Provider Name | SUSAN KAZIK APSW
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 40 JEWELERS PARK DR STE 100
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City | NEENAH
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State | WI
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Zip | 54956-3893
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Country | US
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Telephone | 920-720-6000
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Fax | 920-486-6013
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Provider Business Mailing Address
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Address Line | N1630 WATERLEFE DR
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City | GREENVILLE
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State | WI
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Zip | 54942-8548
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Country | US
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Telephone | 920-224-5559
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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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