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General NPI Number Information
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NPI Number | 1538618236
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Entity Type | Individual
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Provider Name | CASEY NIEMEIER
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Gender | Female
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 6815 POWDER DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46259-7757
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Country | US
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Telephone | 317-253-7387
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Fax | 317-253-7388
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Provider Business Mailing Address
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Address Line | 6815 POWDER DR.
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City | INDIANA
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State | IN
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Zip | 46259
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Country | US
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Telephone | 317-253-7387
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Fax | 317-253-7388
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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 | 34007090A
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License Number State | IN
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