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General NPI Number Information
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NPI Number | 1487784351
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Entity Type | Individual
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Provider Name | KAY ALLYN HOFFSOMMER LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1301 N 47TH ST
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City | KANSAS CITY
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State | KS
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Zip | 66102-1705
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Country | US
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Telephone | 913-288-4209
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 64
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City | STILWELL
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State | KS
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Zip | 66085-0064
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Country | US
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Telephone | 913-851-3485
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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 | 5666
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License Number State | KS
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