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General NPI Number Information
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NPI Number | 1346859600
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Entity Type | Organization
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Legal Business Name | CENTERED AND CONNECTED LLC
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Dates
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Enumeration Date | 07/23/2020
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 2401 E 32ND ST STE 10 #103
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City | JOPLIN
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State | MO
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Zip | 64804
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Country | US
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Telephone | 816-265-1551
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 E 32ND ST STE 10 #103
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City | JOPLIN
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State | MO
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Zip | 64804
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Country | US
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Telephone | 816-265-1551
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | CHIWOO CHOI
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Credential |
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Telephone | 816-529-4206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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