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General NPI Number Information
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NPI Number | 1245054691
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Entity Type | Individual
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Provider Name | MEGHAN NICOLE BARNES NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 3219 E DOUGLAS AVE
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City | WICHITA
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State | KS
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Zip | 67218-1024
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Country | US
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Telephone | 316-201-6047
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Fax |
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Provider Business Mailing Address
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Address Line | 2345 21ST RD
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City | UDALL
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State | KS
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Zip | 67146-7222
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Country | US
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Telephone | 316-708-7097
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 04882
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License Number State | KS
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