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General NPI Number Information
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NPI Number | 1437930658
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Entity Type | Individual
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Provider Name | FAITH CAROL TELLO LPC
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Gender | Female
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1600 N LORRAINE ST STE 202
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City | HUTCHINSON
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State | KS
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Zip | 67501-5600
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Country | US
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Telephone | 620-663-7595
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Fax |
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Provider Business Mailing Address
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Address Line | 8510 E 29TH ST N APT 1412
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City | WICHITA
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State | KS
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Zip | 67226-2247
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Country | US
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Telephone | 316-207-6921
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 04605
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License Number State | KS
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