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General NPI Number Information
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NPI Number | 1346476991
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Entity Type | Individual
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Provider Name | SAMANTHA ATTKISSON-SHRIMPLIN LSCSW, LCAC
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Gender | Female
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 1201 WAKARUSA DR BLDG E SUITE E2 103
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City | LAWRENCE
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State | KS
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Zip | 66049-4722
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Country | US
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Telephone | 785-806-2821
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Fax | 785-856-0390
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Provider Business Mailing Address
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Address Line | 1511 COLLEGE ST
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City | BALDWIN CITY
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State | KS
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Zip | 66006-4017
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Country | US
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Telephone | 785-806-2821
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4358
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | KS
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