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General NPI Number Information
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NPI Number | 1366910838
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Entity Type | Individual
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Provider Name | TARYN JEWELL ZWEYGARDT LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/02/2018
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Last Update Date | 04/15/2019
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Provider Practice Location Address
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Address Line | 315 N HILLSIDE ST STE E
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City | WICHITA
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State | KS
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Zip | 67214-4915
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Country | US
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Telephone | 316-272-0072
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 46
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City | BENTLEY
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State | KS
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Zip | 67016-0046
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Country | US
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Telephone | 316-641-2216
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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 |
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License Number State |
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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 | 9903
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License Number State | KS
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