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General NPI Number Information
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NPI Number | 1174832471
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Entity Type | Organization
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Legal Business Name | ABOVE AND BEYOND TCM, INC
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Dates
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Enumeration Date | 10/04/2010
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Last Update Date | 10/04/2010
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Provider Practice Location Address
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Address Line | 316 N 6TH ST
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City | BURLINGTON
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State | KS
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Zip | 66839-1545
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Country | US
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Telephone | 620-490-1599
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Fax |
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Provider Business Mailing Address
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Address Line | 316 N 6TH ST
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City | BURLINGTON
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State | KS
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Zip | 66839-1545
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Country | US
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Telephone | 620-490-1599
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Fax |
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Authorized Official
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Title or Position | TARGETED CASE MANAGER
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Name | MS. FRANCINE DELLA KIRBY
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Credential |
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Telephone | 620-490-1599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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