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General NPI Number Information
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NPI Number | 1205709839
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Entity Type | Organization
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Legal Business Name | GRACE AND HOPE RECOVERY INC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 550 N 159TH ST E STE 233
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City | WICHITA
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State | KS
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Zip | 67230-7728
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Country | US
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Telephone | 316-391-2967
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Fax |
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Provider Business Mailing Address
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Address Line | 550 N 159TH ST E STE 233
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City | WICHITA
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State | KS
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Zip | 67230-7728
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Country | US
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Telephone | 316-391-2967
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Fax |
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Authorized Official
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Title or Position | ADDICTION COUNSELOR/PRESIDENT
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Name | REBECCA MILBURN
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Credential | LMAC
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Telephone | 316-558-1058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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