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General NPI Number Information
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NPI Number | 1801780804
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Entity Type | Individual
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Provider Name | SKYLER NEUHAUS LSW
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Gender | Male
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 1408 S WALNUT ST STE A
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City | BLOOMINGTON
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State | IN
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Zip | 47401-5888
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Country | US
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Telephone | 812-565-8265
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Fax |
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Provider Business Mailing Address
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Address Line | 719 W 15TH ST
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City | BLOOMINGTON
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State | IN
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Zip | 47404-3307
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Country | US
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Telephone | 260-449-1117
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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 | 99131153A
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License Number State | IN
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