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General NPI Number Information
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NPI Number | 1568045938
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Entity Type | Individual
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Provider Name | TIMMIE JUNIS CARTER LMSW, LMAC
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Gender | Male
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 2793 SW 29TH ST.
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City | TOPEKA
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State | KS
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Zip | 66614
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Country | US
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Telephone | 785-221-3567
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Fax |
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Provider Business Mailing Address
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Address Line | 1117 CROSSGATE TER
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City | MANHATTAN
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State | KS
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Zip | 66503-9659
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Country | US
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Telephone | 785-317-4246
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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 | 9468
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License Number State | KS
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