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General NPI Number Information
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NPI Number | 1073269247
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Entity Type | Organization
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Legal Business Name | STARTING POINT OUTPATIENT INC
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Dates
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Enumeration Date | 02/26/2022
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Last Update Date | 02/26/2022
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Provider Practice Location Address
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Address Line | 930 ILLINOIS AVE
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City | JOPLIN
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State | MO
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Zip | 64801-5044
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Country | US
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Telephone | 417-553-0043
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Fax | 417-553-0081
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Provider Business Mailing Address
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Address Line | 930 ILLINOIS AVE
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City | JOPLIN
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State | MO
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Zip | 64801-5044
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Country | US
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Telephone | 417-553-0043
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Fax | 417-553-0081
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | KELLY JANE YOUNG
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Credential | CRADC/MAT/CPS/CGDC
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Telephone | 417-553-0043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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