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General NPI Number Information
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NPI Number | 1174827703
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH AND ADDICTION SERVICES INC
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Dates
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Enumeration Date | 12/21/2010
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | 1919 N AMIDON AVE STE 317
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City | WICHITA
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State | KS
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Zip | 67203-2120
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Country | US
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Telephone | 316-201-1676
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Fax | 316-201-1762
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Provider Business Mailing Address
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Address Line | 1919 N AMIDON AVE STE 317
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City | WICHITA
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State | KS
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Zip | 67203-2120
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Country | US
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Telephone | 316-201-1676
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Fax | 316-201-1762
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. ANA S AHRENS
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Credential | A.R.N.P.
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Telephone | 316-201-1676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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