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General NPI Number Information
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NPI Number | 1457550980
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Entity Type | Individual
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Provider Name | MAURA CONRY LCSW, LSCSW
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Gender | Female
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Dates
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Enumeration Date | 07/14/2007
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Last Update Date | 08/12/2009
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Provider Practice Location Address
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Address Line | 7923 HALSEY ST
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City | SHAWNEE MISSION
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State | KS
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Zip | 66215-2718
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Country | US
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Telephone | 913-599-4469
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Fax | 913-599-4469
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Provider Business Mailing Address
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Address Line | 7923 HALSEY ST
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City | SHAWNEE MISSION
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State | KS
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Zip | 66215-2718
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Country | US
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Telephone | 913-599-4469
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Fax | 913-599-4469
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2114
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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 | 2000171094
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License Number State | MO
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