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General NPI Number Information
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NPI Number | 1285658468
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Entity Type | Individual
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Provider Name | JAMES L VINCENT PHD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 7807 E FUNSTON ST
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City | WICHITA
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State | KS
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Zip | 67207-3123
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Country | US
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Telephone | 316-636-1188
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Fax | 316-636-1190
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Provider Business Mailing Address
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Address Line | 7807 E FUNSTON ST
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City | WICHITA
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State | KS
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Zip | 67207-3123
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Country | US
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Telephone | 316-636-1188
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Fax | 316-636-1190
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0976
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 0976
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License Number State | KS
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