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General NPI Number Information
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NPI Number | 1023690914
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Entity Type | Organization
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Legal Business Name | ENHANCED INNER PEACE THERAPY, LLC
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 3500 N ROCK RD BLDG 100
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City | WICHITA
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State | KS
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Zip | 67226-1328
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Country | US
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Telephone | 316-678-7916
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Fax | 316-636-4488
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Provider Business Mailing Address
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Address Line | 8345 E OLD MILL CT
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City | WICHITA
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State | KS
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Zip | 67226-4236
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Country | US
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Telephone | 316-768-7916
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Fax | 316-636-4488
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | MS. SHERIDA CLAUDINE VALPOORT-JONES
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Credential | LCMFT
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Telephone | 316-768-7916
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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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