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NPI 1073658613

NPI 1073658613 : KATHLEEN HUNTER LEVY LSCSW : TOPEKA, KS

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General NPI Number Information
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    NPI Number           |    1073658613
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    Entity Type          |    Individual 
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    Provider Name        |    KATHLEEN HUNTER LEVY LSCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/21/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    4125 SW GAGE CENTER DR 
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    City                 |    TOPEKA
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    State                |    KS
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    Zip                  |    66604-1653
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    Country              |    US
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    Telephone            |    785-273-3496
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    Fax                  |    785-273-6718
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Provider Business Mailing Address
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    Address Line         |    4125 SW GAGE CENTER DR 
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    City                 |    TOPEKA
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    State                |    KS
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    Zip                  |    66604-1653
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    Country              |    US
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    Telephone            |    785-273-3496
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    Fax                  |    785-273-6718
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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       |    2292
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    License Number State |    KS
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