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General NPI Number Information
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NPI Number | 1013427020
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Entity Type | Individual
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Provider Name | ALISHA LYNN LANGLEY
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Gender | Female
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 3901 E 32ND ST
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City | JOPLIN
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State | MO
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Zip | 64804-3312
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Country | US
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Telephone | 417-347-7073
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Fax |
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Provider Business Mailing Address
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Address Line | 402 EAGLE EDGE
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City | DUENWEG
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State | MO
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Zip | 64841-1095
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Country | US
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Telephone | 417-259-3325
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2017044144
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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