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General NPI Number Information
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NPI Number | 1316916877
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Entity Type | Individual
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Provider Name | DORILDA ANNE KRESIN LSCSW
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Gender | Female
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1508 E IRON AVE
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City | SALINA
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State | KS
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Zip | 67401-3236
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Country | US
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Telephone | 785-823-3654
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Fax | 785-827-1280
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Provider Business Mailing Address
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Address Line | 400 S SANTA FE AVE
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City | SALINA
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State | KS
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Zip | 67401-4144
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Country | US
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Telephone | 785-452-7706
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Fax | 785-452-7279
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1718
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License Number State | KS
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