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General NPI Number Information
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NPI Number | 1598815250
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Entity Type | Individual
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Provider Name | DAVID SCOTT DRAJKOWSKI MSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 216 N WATER ST 2
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City | MILWAUKEE
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State | WI
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Zip | 53202-5762
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Country | US
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Telephone | 414-223-4000
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Fax | 414-223-2660
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Provider Business Mailing Address
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Address Line | 2128 S 67TH PL
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City | WEST ALLIS
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State | WI
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Zip | 53219-1307
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Country | US
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Telephone | 414-545-2913
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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 | 6810-123
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License Number State | WI
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