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General NPI Number Information
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NPI Number | 1073195046
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Entity Type | Individual
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Provider Name | KACI C ZIEGLER LPC
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Gender | Female
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Dates
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Enumeration Date | 04/28/2021
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 4601 E DOUGLAS AVE STE 209
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City | WICHITA
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State | KS
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Zip | 67218-1032
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Country | US
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Telephone | 316-351-8113
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 WALNUT ST
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City | KINGMAN
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State | KS
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Zip | 67068-1061
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Country | US
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Telephone | 785-658-5464
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 03797
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License Number State | KS
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