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General NPI Number Information
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NPI Number | 1013492602
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Entity Type | Organization
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Legal Business Name | PHOENIX SOLUTIONS INC.
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 09/28/2018
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Provider Practice Location Address
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Address Line | 3601 SW 29TH ST STE 112B
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City | TOPEKA
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State | KS
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Zip | 66614-2015
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Country | US
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Telephone | 785-338-0307
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Fax | 785-246-8216
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Provider Business Mailing Address
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Address Line | 3601 SW 29TH ST STE 112B
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City | TOPEKA
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State | KS
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Zip | 66614-2015
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Country | US
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Telephone | 785-338-0307
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Fax | 785-246-8216
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Authorized Official
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Title or Position | INCORPORATOR
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Name | CHRISTINE LOUISE STERRETT
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Credential | LCMFT;LMAC;AMCII
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Telephone | 785-338-0307
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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 |
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License Number State |
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