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General NPI Number Information
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NPI Number | 1780544981
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Entity Type | Individual
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Provider Name | JAIME RENEE NUNN APSW
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Gender | Female
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 6737 W WASHINGTON ST STE 4300
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City | WEST ALLIS
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State | WI
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Zip | 53214-5651
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Country | US
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Telephone | 855-371-8104
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Fax |
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Provider Business Mailing Address
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Address Line | 3663 S ADAMS CT
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City | MILWAUKEE
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State | WI
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Zip | 53207-3422
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Country | US
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Telephone | 855-371-8104
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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 | 128735121
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License Number State | WI
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