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General NPI Number Information
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NPI Number | 1003122383
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Entity Type | Organization
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Legal Business Name | LIVING EARTH, INC.
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 126 PARKSIDE CIR
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City | JUNCTION CITY
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State | KS
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Zip | 66441-3253
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Country | US
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Telephone | 785-762-2504
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Fax |
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Provider Business Mailing Address
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Address Line | 126 PARKSIDE CIR
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City | JUNCTION CITY
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State | KS
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Zip | 66441-3253
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Country | US
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Telephone | 785-762-2504
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN WARREN NORTON
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Credential | LCMFT
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Telephone | 785-762-2504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 043
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License Number State | KS
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