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General NPI Number Information
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NPI Number | 1023722980
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Entity Type | Individual
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Provider Name | ZULEIKA REYNOSO LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 225 SW 12TH ST STE 203
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City | TOPEKA
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State | KS
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Zip | 66612-1310
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Country | US
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Telephone | 785-969-7098
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Fax |
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Provider Business Mailing Address
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Address Line | 4452 SE MARYLAND AVE
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City | TOPEKA
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State | KS
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Zip | 66609-1704
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Country | US
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Telephone | 785-969-7098
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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 | 11106
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License Number State | KS
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