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General NPI Number Information
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NPI Number | 1699924498
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Entity Type | Individual
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Provider Name | FIANA L MARTIN LSCSW
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Gender | Female
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 12/07/2018
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Provider Practice Location Address
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Address Line | 1119 SW GAGE BLVD STE B
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City | TOPEKA
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State | KS
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Zip | 66604-1774
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Country | US
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Telephone | 785-845-0676
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Fax | 785-408-5612
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Provider Business Mailing Address
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Address Line | 1119 SW GAGE BLVD STE B
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City | TOPEKA
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State | KS
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Zip | 66604-1774
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Country | US
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Telephone | 785-845-0676
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Fax | 785-408-5612
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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 | 5930
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4267
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License Number State | KS
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