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General NPI Number Information
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NPI Number | 1295280345
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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 | 08/18/2016
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 5040 SW 28TH ST SUITE B
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City | TOPEKA
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State | KS
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Zip | 66614-2302
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Country | US
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Telephone | 800-785-2316
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Fax |
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Provider Business Mailing Address
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Address Line | 5040 SW 28TH ST SUITE B
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City | TOPEKA
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State | KS
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Zip | 66614-2302
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Country | US
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Telephone | 800-785-2316
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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 | DONALD JERALD CROWDER
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Credential | LSCSW
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Telephone | 800-785-2316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 575
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License Number State | KS
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Taxonomy #2
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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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