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General NPI Number Information
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NPI Number | 1114586062
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Entity Type | Individual
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Provider Name | MICAELA R SANDS LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/12/2019
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 2121 SW CHELSEA DR
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City | TOPEKA
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State | KS
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Zip | 66614-1756
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Country | US
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Telephone | 800-466-2222
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Fax | 785-232-5172
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Provider Business Mailing Address
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Address Line | 6585 110TH ST
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City | OZAWKIE
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State | KS
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Zip | 66070-6052
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Country | US
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Telephone | 785-230-6489
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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 | 11309
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License Number State | KS
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