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General NPI Number Information
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NPI Number | 1508775487
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Entity Type | Individual
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Provider Name | SARA J MAAS
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Gender |
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 5225 W VLIET ST
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City | MILWAUKEE
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State | WI
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Zip | 53208-2698
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Country | US
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Telephone | 414-393-3195
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Fax |
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Provider Business Mailing Address
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Address Line | 4120 S LAKE DR UNIT 153
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City | SAINT FRANCIS
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State | WI
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Zip | 53235-5954
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Country | US
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Telephone |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 3590004391
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License Number State | WI
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