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General NPI Number Information
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NPI Number | 1801070545
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Entity Type | Organization
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Legal Business Name | DREXBURKE INC.
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | 2206 SW 29TH TER
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City | TOPEKA
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State | KS
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Zip | 66611-1955
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Country | US
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Telephone | 785-554-3738
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Fax | 785-783-3056
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Provider Business Mailing Address
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Address Line | 705 SW MERRIAM CT
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City | TOPEKA
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State | KS
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Zip | 66611-1214
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Country | US
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Telephone | 785-554-3738
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Fax | 785-234-4281
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DREX BURKE FLOTT
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Credential | LSCSW
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Telephone | 785-554-3738
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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 | KS LSCSW 1677
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License Number State | KS
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