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General NPI Number Information
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NPI Number | 1912637570
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Entity Type | Individual
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Provider Name | MRS. KARA NICOLE VAN BEEK
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Gender | Female
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1400 BELLINGER ST
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City | EAU CLAIRE
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State | WI
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Zip | 54703-9943
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Country | US
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Telephone | 715-838-5222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 860912 PROVIDER ENROLLMENT - MCHS WI
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0912
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Country | US
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Telephone | 715-838-5222
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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 | 12385-123
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License Number State | WI
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