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General NPI Number Information
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NPI Number | 1578554747
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Entity Type | Individual
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Provider Name | KIMBERLEY HOLLANDER FISCHER LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 500 RIVERVIEW AVENUE
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City | WAUKESHA
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State | WI
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Zip | 53188-4809
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Country | US
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Telephone | 262-548-7993
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Fax | 262-970-4791
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Provider Business Mailing Address
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Address Line | N49W17324 SHEFFIELD LN
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-6555
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Country | US
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Telephone | 262-373-0705
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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 | 6909-123
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License Number State | WI
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