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General NPI Number Information
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NPI Number | 1720897416
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Entity Type | Individual
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Provider Name | EMILY PETERMAN APSW
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Gender | Female
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 4369 S HOWELL AVE STE 306
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City | MILWAUKEE
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State | WI
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Zip | 53207-5098
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Country | US
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Telephone | 414-999-0102
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Fax |
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Provider Business Mailing Address
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Address Line | 321 N 73RD ST
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City | MILWAUKEE
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State | WI
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Zip | 53213-3622
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Country | US
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Telephone | 920-655-5531
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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 |
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License Number State |
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