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General NPI Number Information
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NPI Number | 1285584045
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Entity Type | Organization
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Legal Business Name | ANNIE TARGOS THERAPY, LLC
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Dates
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Enumeration Date | 01/31/2026
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 121 S WHITTIER RD
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City | WICHITA
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State | KS
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Zip | 67207-1064
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Country | US
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Telephone | 316-712-1603
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Fax |
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Provider Business Mailing Address
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Address Line | 1252 S TODD CT
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City | WICHITA
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State | KS
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Zip | 67207-3931
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Country | US
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Telephone | 210-273-9547
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST, OWNER
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Name | ANNE TARGOS
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Credential | LSCSW
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Telephone | 316-712-1603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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