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General NPI Number Information
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NPI Number | 1366253825
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Entity Type | Organization
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Legal Business Name | LIMEAIDE THERAPY AND CONSULTING, LLC
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 614 N 2ND AVE
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City | DODGE CITY
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State | KS
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Zip | 67801-4440
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Country | US
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Telephone | 620-392-3335
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1111
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City | DODGE CITY
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State | KS
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Zip | 67801-1111
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Country | US
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Telephone | 620-682-0605
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | LESLIE LIMA
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Credential | LSCSW
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Telephone | 620-392-3335
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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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