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General NPI Number Information
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NPI Number | 1326504432
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Entity Type | Organization
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Legal Business Name | EMERGE COUNSELING LLC
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 02/13/2019
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Provider Practice Location Address
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Address Line | 6155 OAK ST STE B
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City | KANSAS CITY
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State | MO
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Zip | 64113-2266
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Country | US
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Telephone | 816-837-0096
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Fax | 816-895-2001
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Provider Business Mailing Address
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Address Line | 436 W 63RD ST
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City | KANSAS CITY
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State | MO
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Zip | 64113-1620
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Country | US
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Telephone | 816-837-0096
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MAUREEN G GIRALDO
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Credential | LCSW, LSCSW
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Telephone | 816-837-0096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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