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General NPI Number Information
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NPI Number | 1285847046
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Entity Type | Organization
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Legal Business Name | MARSHALL COUNTY INFANT TODDLER SERVICES
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 405 N 4TH ST LINCOLN CENTER
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City | MARYSVILLE
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State | KS
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Zip | 66508-1525
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Country | US
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Telephone | 785-629-8300
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Fax | 785-629-8388
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Provider Business Mailing Address
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Address Line | 405 N 4TH ST LINCOLN CENTER
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City | MARYSVILLE
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State | KS
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Zip | 66508-1525
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Country | US
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Telephone | 785-629-8300
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Fax | 785-629-8388
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Authorized Official
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Title or Position | FAMILY SERVICE COORDINATOR
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Name | DONNA L HOLLE
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Credential |
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Telephone | 785-629-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | NULL
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | NULL
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Taxonomy #6
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | NULL
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