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General NPI Number Information
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NPI Number | 1346401973
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Entity Type | Individual
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Provider Name | LINDSEY ANN MOSS LSCSW
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Gender | Female
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 1121 N COLLEGE PARK ST SUITE 200
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City | DERBY
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State | KS
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Zip | 67037-3665
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Country | US
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Telephone | 316-650-5737
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Fax | 316-260-6494
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Provider Business Mailing Address
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Address Line | 3737 N RUSHWOOD ST #1001
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City | WICHITA
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State | KS
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Zip | 67226-2528
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Country | US
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Telephone | 316-650-5737
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Fax | 316-260-6494
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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 | 7126
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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 | 4134
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License Number State | KS
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