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General NPI Number Information
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NPI Number | 1891918363
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Entity Type | Individual
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Provider Name | SARA C MEUTH MSW APSW
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 100 POLK COUNTY PLZ SUITE 50
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City | BALSAM LAKE
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State | WI
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Zip | 54810-9071
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Country | US
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Telephone | 715-485-8488
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Fax | 715-485-8490
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Provider Business Mailing Address
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Address Line | 1408 FALCON PL
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City | NEW RICHMOND
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State | WI
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Zip | 54017-6588
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Country | US
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Telephone | 715-246-6028
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1865 121
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License Number State | WI
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