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General NPI Number Information
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NPI Number | 1093672586
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Entity Type | Organization
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Legal Business Name | COPPER VALLEY INTEGRATED HEALTH LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 801 E DOUGLAS AVE FL 2
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City | WICHITA
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State | KS
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Zip | 67202-3548
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Country | US
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Telephone | 316-688-2007
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Fax | 316-661-1208
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Provider Business Mailing Address
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Address Line | 801 E DOUGLAS AVE FL 2
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City | WICHITA
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State | KS
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Zip | 67202-3548
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Country | US
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Telephone | 316-688-2007
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Fax | 316-661-1208
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Authorized Official
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Title or Position | MANAGER
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Name | LUC-ARMAND NINGUMIRIZE
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Credential |
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Telephone | 207-409-4027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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