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General NPI Number Information
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NPI Number | 1255686275
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Entity Type | Organization
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Legal Business Name | LINDA CRENSHAW, LMSW
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 127 E AVENUE B SUITE B
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City | HUTCHINSON
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State | KS
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Zip | 67501-7422
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Country | US
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Telephone | 620-259-7993
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Fax | 620-259-7994
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Provider Business Mailing Address
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Address Line | PO BOX 20733
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City | WICHITA
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State | KS
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Zip | 67208-6733
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Country | US
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Telephone | 316-519-0673
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH PROVIDER
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Name | LINDA CRENSHAW
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Credential | LMSW
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Telephone | 316-519-0673
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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 | 7744
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License Number State | KS
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