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General NPI Number Information
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NPI Number | 1326770843
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Entity Type | Individual
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Provider Name | CORBIN GOSNELL
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Gender | Male
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 3730 E LINCOLN ST
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City | WICHITA
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State | KS
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Zip | 67218-2008
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Country | US
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Telephone | 785-825-0541
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Fax |
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Provider Business Mailing Address
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Address Line | 110 W OTIS AVE
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City | SALINA
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State | KS
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Zip | 67401-8713
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Country | US
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Telephone |
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Fax |
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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 | 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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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 12618
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License Number State | KS
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