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General NPI Number Information
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NPI Number | 1720807381
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Entity Type | Individual
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Provider Name | DANA MICHELE WERNER ED.S., MSW, LSW
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Gender | Female
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 11/10/2024
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Provider Practice Location Address
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Address Line | 3755 E MAIN ST STE 190
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City | ST CHARLES
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State | IL
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Zip | 60174-2463
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Country | US
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Telephone | 630-549-6245
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Fax | 630-701-9500
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Provider Business Mailing Address
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Address Line | 39W908 CARL SANDBURG RD
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City | SAINT CHARLES
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State | IL
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Zip | 60175-7748
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Country | US
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Telephone | 630-624-6501
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 944526
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License Number State | IL
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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 | 150010471
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License Number State | IL
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