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General NPI Number Information
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NPI Number | 1225433824
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Entity Type | Individual
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Provider Name | KIMBERLY A FARAG LPC
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Gender | Female
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 7381 W 133RD ST SUITE 260
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City | OVERLAND PARK
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State | KS
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Zip | 66213-4750
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Country | US
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Telephone | 913-647-8092
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Fax |
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Provider Business Mailing Address
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Address Line | 5318 W 79TH ST
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-4707
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Country | US
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Telephone | 816-785-5595
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2677
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License Number State | KS
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