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NPI 1942546171

NPI 1942546171 : GEORGEANN MARIE KNIER APSW : MANITOWOC, WI

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General NPI Number Information
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    NPI Number           |    1942546171
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    Entity Type          |    Individual 
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    Provider Name        |    GEORGEANN MARIE KNIER APSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/15/2012
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    Last Update Date     |    04/26/2018
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Provider Practice Location Address
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    Address Line         |    1 E WALDO BLVD 
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    City                 |    MANITOWOC
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    State                |    WI
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    Zip                  |    54220-2912
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    Country              |    US
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    Telephone            |    920-323-7742
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    615 S 8TH ST STE 210
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    City                 |    SHEBOYGAN
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    State                |    WI
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    Zip                  |    53081-4468
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    Country              |    US
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    Telephone            |    920-629-4704
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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       |    
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    License Number State |    
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