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General NPI Number Information
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NPI Number | 1164791174
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Entity Type | Organization
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Legal Business Name | TURN AROUND RANCH THERAPEUTIC RIDING CENTER
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 361 SE 1201ST RD
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City | CLINTON
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State | MO
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Zip | 64735-9391
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Country | US
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Telephone | 660-492-9072
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 693
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City | CLINTON
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State | MO
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Zip | 64735
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Country | US
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Telephone | 660-492-9072
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Fax |
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Authorized Official
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Title or Position | INSTRUCTOR/THERAPIST
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Name | MS. WENDY LEA THON
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Credential | NAHRA CERTIFIED
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Telephone | 660-492-9072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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