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General NPI Number Information
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NPI Number | 1306148564
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Entity Type | Organization
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Legal Business Name | IN HOME FAMILY COUNSELING ASSOCIATES LLC
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Dates
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Enumeration Date | 11/21/2010
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Last Update Date | 11/21/2010
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Provider Practice Location Address
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Address Line | 10732 W 115TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66210-3004
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Country | US
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Telephone | 913-952-9643
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Fax | 888-441-5613
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Provider Business Mailing Address
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Address Line | 10732 W 115TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66210-3004
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Country | US
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Telephone | 913-952-9643
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Fax | 888-441-5613
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Authorized Official
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Title or Position | OWNER
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Name | MR. WALTER LOUIS
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Credential | MS, LCMFT
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Telephone | 913-952-9643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 687
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License Number State | KS
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