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General NPI Number Information
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NPI Number | 1023354552
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Entity Type | Organization
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Legal Business Name | HEARTLAND HEALTHCARE CONSULTANTS, INC.
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Dates
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Enumeration Date | 01/03/2013
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Last Update Date | 01/03/2013
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Provider Practice Location Address
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Address Line | 1017 S TENNESSEE AVE
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City | CHANUTE
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State | KS
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Zip | 66720-2663
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Country | US
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Telephone | 620-212-5082
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13
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City | CHANUTE
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State | KS
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Zip | 66720-0013
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Country | US
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Telephone | 620-212-5082
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | MRS. KRISTIN MICHELE FEEBACK
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Credential | LSCSW
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Telephone | 620-212-5082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4192
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License Number State | KS
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