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General NPI Number Information
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NPI Number | 1003355967
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Entity Type | Individual
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Provider Name | ASHLYNN FARRISON
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Gender | Female
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 250 N ROCK RD
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City | WICHITA
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State | KS
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Zip | 67206-2203
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Country | US
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Telephone | 316-553-5045
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Fax | 316-330-5528
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Provider Business Mailing Address
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Address Line | 22214 D ST
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City | WINFIELD
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State | KS
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Zip | 67156-7376
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2901
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2843
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License Number State | KS
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