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General NPI Number Information
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NPI Number | 1306025317
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Entity Type | Individual
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Provider Name | MARY KATHLEEN NEWMAN LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 4601 E DOUGLAS AVE
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City | WICHITA
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State | KS
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Zip | 67218-1011
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Country | US
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Telephone | 785-608-8429
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Fax | 844-811-6367
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Provider Business Mailing Address
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Address Line | 4601 E DOUGLAS AVE
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City | WICHITA
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State | KS
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Zip | 67218-1011
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Country | US
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Telephone | 785-608-8429
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Fax | 844-811-6367
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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 | 5376
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 4125
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License Number State | KS
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