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General NPI Number Information
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NPI Number | 1063821007
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Entity Type | Individual
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Provider Name | KELSEY FABER PSY.D., LP, LMLP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 7570 W 21ST ST N STE 1026D
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City | WICHITA
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State | KS
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Zip | 67205-1764
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Country | US
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Telephone | 316-634-4700
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Fax | 316-634-4770
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Provider Business Mailing Address
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Address Line | 7570 W 21ST ST N STE 1026D
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City | WICHITA
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State | KS
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Zip | 67205-1764
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Country | US
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Telephone | 316-634-4700
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 03167
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License Number State | KS
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