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General NPI Number Information
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NPI Number | 1881032753
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Entity Type | Individual
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Provider Name | AMANDA RAEANN NIEMETH LMSW-T
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Gender | Female
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 3630 SW BURLINGAME RD
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City | TOPEKA
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State | KS
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Zip | 66611-2050
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Country | US
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Telephone | 785-608-9801
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 SW BURLINGAME RD
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City | TOPEKA
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State | KS
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Zip | 66611-2046
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Country | US
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Telephone | 785-608-9801
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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 | 13515-T
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License Number State | KS
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