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NPI 1548679277

NPI 1548679277 : MRS. KARA WESTGATE : TOPEKA, KS

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General NPI Number Information
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    NPI Number           |    1548679277
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. KARA WESTGATE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/06/2014
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    Last Update Date     |    01/28/2017
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Provider Practice Location Address
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    Address Line         |    1170 SW MISSION AVE STE B 
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    City                 |    TOPEKA
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    State                |    KS
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    Zip                  |    66604-1894
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    Country              |    US
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    Telephone            |    785-554-0677
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    Fax                  |    785-271-0111
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Provider Business Mailing Address
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    Address Line         |    2104 SE PEACE CT 
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    City                 |    TOPEKA
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    State                |    KS
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    Zip                  |    66605-2700
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    Country              |    US
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    Telephone            |    785-554-0677
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    Fax                  |    785-271-0111
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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       |    5363
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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       |    4600
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    License Number State |    KS
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