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General NPI Number Information
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NPI Number | 1386422004
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Entity Type | Organization
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Legal Business Name | TENACIOUSLY YOU THERAPY, LLC
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 782 RAY RD
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City | FORT RILEY
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State | KS
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Zip | 66442-4546
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Country | US
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Telephone | 580-574-1167
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Fax |
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Provider Business Mailing Address
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Address Line | 782 RAY RD
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City | FORT RILEY
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State | KS
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Zip | 66442-4546
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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 | OWNER
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Name | JESSICA NICOLE RUMPH
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Credential | MSW, LSCSW
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Telephone | 580-574-1167
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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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