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General NPI Number Information
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NPI Number | 1407400526
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Entity Type | Individual
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Provider Name | DEBRA M. CRATER
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Gender | Female
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Dates
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Enumeration Date | 07/26/2019
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Last Update Date | 07/26/2019
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Provider Practice Location Address
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Address Line | 2200 SW GAGE BLVD
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City | TOPEKA
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State | KS
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Zip | 66622-0001
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Country | US
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Telephone | 785-350-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 6326 SW 48TH PL
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City | TOPEKA
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State | KS
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Zip | 66610-1643
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Country | US
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Telephone | 620-727-5624
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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 | 11290
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License Number State | KS
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