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General NPI Number Information
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NPI Number | 1376219212
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Entity Type | Organization
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Legal Business Name | WEE PLAY FAMILY THERAPY, LLC
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 2115 N 750 W
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City | KOKOMO
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State | IN
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Zip | 46901-8506
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Country | US
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Telephone | 765-434-0425
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 173
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City | FLORA
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State | IN
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Zip | 46929-0173
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Country | US
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Telephone | 765-416-3422
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRITTANIE ALYN SPRAKER
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Credential | LMFT, RPT
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Telephone | 765-416-3422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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