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General NPI Number Information
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NPI Number | 1871566224
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Entity Type | Individual
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Provider Name | JAMES REDGER SR. LSCSW
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Gender | Male
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 3600 SW BURLINGAME RD
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City | TOPEKA
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State | KS
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Zip | 66611-2053
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Country | US
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Telephone | 785-554-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 3038 SW HAYS RD
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City | TOPEKA
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State | KS
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Zip | 66614-9720
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Country | US
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Telephone | 785-554-9060
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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 1563
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License Number State | KS
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