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General NPI Number Information
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NPI Number | 1851474860
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Entity Type | Individual
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Provider Name | VICTORIA SUZANNE TRYON-CAGAN LSCSW
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 327 SW FRAZIER AVE
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City | TOPEKA
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State | KS
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Zip | 66606-1963
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Country | US
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Telephone | 785-232-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 301 WAGON WHEEL RD
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City | LAWRENCE
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State | KS
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Zip | 66049-2035
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Country | US
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Telephone | 785-830-8224
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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 | LSCSW 3746
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License Number State | KS
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