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General NPI Number Information
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NPI Number | 1588328629
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Entity Type | Individual
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Provider Name | ELOUISE GIROUX CRAM LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 10/25/2021
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Provider Practice Location Address
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Address Line | 325 E 31ST ST STE 234
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City | KANSAS CITY
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State | MO
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Zip | 64108-3219
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Country | US
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Telephone | 843-290-9464
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Fax |
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Provider Business Mailing Address
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Address Line | 3835 MAIN ST UNIT 206
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City | KANSAS CITY
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State | MO
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Zip | 64111-5805
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Country | US
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Telephone | 843-290-9464
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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 | 2020025344
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License Number State | MO
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