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General NPI Number Information
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NPI Number | 1811807720
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Entity Type | Individual
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Provider Name | JOANNE LYNN POLFUS
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Gender | Female
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 2525 3RD AVE S
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City | ESCANABA
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State | MI
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Zip | 49829-1258
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Country | US
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Telephone | 906-786-9300
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Fax |
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Provider Business Mailing Address
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Address Line | N12533 POLFUS ROAD E 3
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City | CARNEY
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State | MI
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Zip | 49812-9476
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Country | US
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Telephone | 989-640-1230
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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 | 6801085831
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License Number State | MI
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