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General NPI Number Information
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NPI Number | 1366606113
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Entity Type | Organization
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Legal Business Name | CLINICAL CONSULTING ASSOCIATES, INC
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 1700 SW 7TH ST
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City | TOPEKA
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State | KS
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Zip | 66606-2489
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Country | US
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Telephone | 785-554-2950
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Fax |
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Provider Business Mailing Address
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Address Line | 6021 SW 29TH STREET SUITE A BOX 354
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City | TOPEKA
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State | KS
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Zip | 66614-6200
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Country | US
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Telephone | 785-640-3057
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Fax | 785-267-3711
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW H SCHAUER
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Credential | PHD
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Telephone | 785-554-2950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 585
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License Number State | KS
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