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General NPI Number Information
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NPI Number | 1245375385
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Entity Type | Organization
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Legal Business Name | HEARTLAND REGIONAL ALCOHOL & DRUG ASSESSMENT CENTER
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5500 BUENA VISTA ST SUITE 202
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City | ROELAND PARK
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State | KS
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Zip | 66205-2704
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Country | US
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Telephone | 913-789-0951
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Fax | 913-789-0954
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Provider Business Mailing Address
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Address Line | 5500 BUENA VISTA ST SUITE 202
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City | ROELAND PARK
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State | KS
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Zip | 66205-2704
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Country | US
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Telephone | 913-789-0951
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Fax | 913-789-0954
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DALYN SCHMITT
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Credential |
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Telephone | 913-789-0952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | A04
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License Number State | KS
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