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General NPI Number Information
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NPI Number | 1720439052
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Entity Type | Individual
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Provider Name | JENNIFER LOGAN ARMSTRONG LSCSW
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Gender | Female
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 08/20/2016
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Provider Practice Location Address
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Address Line | 6525 E MAINSGATE RD
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City | WICHITA
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State | KS
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Zip | 67226-1062
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Country | US
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Telephone | 316-461-7923
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Fax |
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Provider Business Mailing Address
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Address Line | 7013 E STONEGATE ST
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City | WICHITA
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State | KS
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Zip | 67206-1137
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Country | US
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Telephone | 785-493-8181
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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 | 4395
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License Number State | KS
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