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General NPI Number Information
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NPI Number | 1508676313
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Entity Type | Individual
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Provider Name | NICOLE MARIE WOITULA MSW, APSW
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 2102 N 6TH ST
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City | WAUSAU
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State | WI
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Zip | 54403-3438
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Country | US
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Telephone | 715-393-9458
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Fax |
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Provider Business Mailing Address
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Address Line | 1392 HIGHWAY 66 W
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City | STEVENS POINT
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State | WI
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Zip | 54481-9053
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Country | US
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Telephone | 920-312-2946
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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 | 135532-121
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License Number State | WI
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Taxonomy #2
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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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