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General NPI Number Information
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NPI Number | 1730246976
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Entity Type | Individual
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Provider Name | CHASITY DAWN SCARBOROUGH LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 1555 NE RICE RD
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City | LEES SUMMIT
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State | MO
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Zip | 64086-5849
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Country | US
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Telephone | 816-347-3244
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Fax |
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Provider Business Mailing Address
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Address Line | 1046 S MAGUIRE TER APT B
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City | WARRENSBURG
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State | MO
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Zip | 64093-2893
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Country | US
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Telephone | 816-223-1941
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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 | 2005012017
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License Number State | MO
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