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General NPI Number Information
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NPI Number | 1023906120
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Entity Type | Organization
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Legal Business Name | NEXT STEP KANSAS, LLC
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 2721 E BOULEVARD PLZ
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City | WICHITA
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State | KS
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Zip | 67211-3813
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Country | US
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Telephone | 316-558-1792
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Fax |
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Provider Business Mailing Address
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Address Line | 230 S TRACY ST
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City | WICHITA
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State | KS
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Zip | 67209-2448
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Country | US
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Telephone | 316-558-1792
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | ROCHELLE RENEE DIXON
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Credential |
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Telephone | 301-455-1776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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