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General NPI Number Information
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NPI Number | 1649389818
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Entity Type | Individual
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Provider Name | CHARLOTTE LOUISE KRAAI LISW, CADC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3600 30TH ST
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City | DES MOINES
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State | IA
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Zip | 50310-5753
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Country | US
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Telephone | 515-699-5807
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Fax | 515-699-5779
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Provider Business Mailing Address
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Address Line | 1103 WOODLAND PARK DR
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City | WEST DES MOINES
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State | IA
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Zip | 50266-4951
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Country | US
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Telephone | 515-221-9079
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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 | 05771
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License Number State | IA
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