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General NPI Number Information
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NPI Number | 1568827434
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Entity Type | Individual
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Provider Name | KATHY KAY GREER LISW
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Gender | Female
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Dates
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Enumeration Date | 12/21/2015
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Last Update Date | 08/14/2022
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Provider Practice Location Address
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Address Line | 1605 N ANKENY BLVD STE 110
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City | ANKENY
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State | IA
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Zip | 50023-4163
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Country | US
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Telephone | 515-500-5452
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 W BROADWAY ST
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City | POLK CITY
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State | IA
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Zip | 50226-1005
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Country | US
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Telephone | 515-681-3816
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 077084
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 077084
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License Number State | IA
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