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General NPI Number Information
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NPI Number | 1568274256
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Entity Type | Individual
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Provider Name | SAMANTHA LINNEA WALTER
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Gender | Female
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 15940 COLLEGE BLVD
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City | LENEXA
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State | KS
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Zip | 66219-1305
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Country | US
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Telephone | 913-324-3823
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Fax | 913-768-1437
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Provider Business Mailing Address
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Address Line | 480 S ROGERS RD
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City | OLATHE
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State | KS
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Zip | 66062-1706
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Country | US
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Telephone | 913-764-2887
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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 | 13703
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License Number State | KS
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