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General NPI Number Information
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NPI Number | 1427447796
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Entity Type | Individual
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Provider Name | NATASHA KLUTTS LSCSW
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Gender | Female
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Dates
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Enumeration Date | 01/09/2015
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 1715 E CEDAR ST STE 112
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City | OLATHE
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State | KS
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Zip | 66062-1791
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Country | US
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Telephone | 210-325-9823
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Fax |
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Provider Business Mailing Address
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Address Line | 32957 W 207TH ST
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City | EDGERTON
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State | KS
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Zip | 66021-9406
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Country | US
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Telephone | 210-325-9823
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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 | 7645
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License Number State | KS
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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 | 4843
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License Number State | KS
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