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General NPI Number Information
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NPI Number | 1194043935
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Entity Type | Organization
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Legal Business Name | DONALD J CROWDER LSCSW LLC
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 2625 SW BERKSHIRE DR
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City | TOPEKA
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State | KS
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Zip | 66614-4875
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Country | US
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Telephone | 785-207-6062
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Fax |
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Provider Business Mailing Address
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Address Line | 220 SW 33RD ST TREC
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City | TOPEKA
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State | KS
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Zip | 66611-2230
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Country | US
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Telephone | 785-207-6062
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Fax |
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Authorized Official
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Title or Position | MEMBER-MANAGER
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Name | MR. DONALD JERALD CROWDER
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Credential | L.S.C.S.W
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Telephone | 785-207-6062
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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 | 2141
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License Number State | KS
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