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General NPI Number Information
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NPI Number | 1083533244
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Entity Type | Individual
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Provider Name | GRACE MADISON HENDERSON LPC
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Gender | Female
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 8080 E CENTRAL AVE STE 190
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City | WICHITA
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State | KS
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Zip | 67206-2389
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Country | US
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Telephone | 316-260-3777
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Fax |
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Provider Business Mailing Address
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Address Line | 1332 N DENMARK AVE
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City | WICHITA
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State | KS
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Zip | 67212-3066
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Country | US
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Telephone | 307-751-4901
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 05209
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License Number State | KS
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