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General NPI Number Information
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NPI Number | 1164326716
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Entity Type | Organization
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Legal Business Name | EMERGE WICHITA LLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 2903 E CENTRAL AVE
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City | WICHITA
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State | KS
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Zip | 67214-4716
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Country | US
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Telephone | 316-640-8772
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Fax |
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Provider Business Mailing Address
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Address Line | 700 N MARKET ST
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City | WICHITA
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State | KS
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Zip | 67214-3529
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | AARON MAXWELL
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Credential |
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Telephone | 316-640-8772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State | NULL
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