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General NPI Number Information
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NPI Number | 1821680885
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Entity Type | Individual
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Provider Name | CASSIDY M HAAG LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/10/2021
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 4701 COLLEGE BLVD
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1934
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Country | US
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Telephone | 785-213-2359
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Fax |
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Provider Business Mailing Address
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Address Line | 11124 W 76TH TER APT 20
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City | SHAWNEE
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State | KS
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Zip | 66214-2913
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 13121
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License Number State | KS
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