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General NPI Number Information
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NPI Number | 1073250221
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Entity Type | Organization
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Legal Business Name | STACY WITZKI CONSULTING, LLC
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 110 WESTWOODS DR
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City | LIBERTY
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State | MO
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Zip | 64068-1181
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Country | US
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Telephone | 816-974-7363
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Fax | 816-817-3328
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Provider Business Mailing Address
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Address Line | 1105 SILVERLEAF LN
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City | LIBERTY
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State | MO
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Zip | 64068-8496
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Country | US
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Telephone | 816-332-7363
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | STACY L WITZKI
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Credential | LPC
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Telephone | 816-974-7363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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