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General NPI Number Information
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NPI Number | 1316711062
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Entity Type | Individual
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Provider Name | TIANNA ELAINE MCIFF LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 12710 S PFLUMM RD STE 204
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City | OLATHE
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State | KS
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Zip | 66062-3884
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Country | US
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Telephone | 913-568-7218
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 S CARDINAL PL
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City | OLATHE
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State | KS
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Zip | 66062-2139
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Country | US
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Telephone | 913-568-7218
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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 | 13040
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License Number State | KS
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