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General NPI Number Information
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NPI Number | 1457376949
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Entity Type | Individual
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Provider Name | DIANE M SADOWSKI LSCSW
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Gender | Female
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 111 W 2ND ST
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City | OTTAWA
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State | KS
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Zip | 66067-2212
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Country | US
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Telephone | 785-242-8970
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Fax | 785-242-6770
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Provider Business Mailing Address
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Address Line | 1321 S MULBERRY ST
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City | OTTAWA
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State | KS
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Zip | 66067-3635
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Country | US
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Telephone | 785-242-6525
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAC 314
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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 | LSCSW 1372
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License Number State | KS
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