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General NPI Number Information
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NPI Number | 1366709339
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Entity Type | Individual
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Provider Name | JULIE POTTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 4151 N MULBERRY DR # 204
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City | KANSAS CITY
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State | MO
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Zip | 64116-4447
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Country | US
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Telephone | 816-226-8881
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Fax |
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Provider Business Mailing Address
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Address Line | 3605 NW 50TH ST
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City | RIVERSIDE
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State | MO
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Zip | 64150-3327
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Country | US
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Telephone | 719-439-1103
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSCSW5206
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License Number State | KS
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