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General NPI Number Information
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NPI Number | 1447014469
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Entity Type | Individual
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Provider Name | JOSEPH BIBEAULT LPC
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Gender | Male
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Dates
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Enumeration Date | 02/09/2024
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 8100 E 22ND ST N STE 100
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City | WICHITA
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State | KS
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Zip | 67226-2350
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Country | US
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Telephone | 623-606-8170
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Fax |
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Provider Business Mailing Address
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Address Line | 2841 N WOODRIDGE ST
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City | WICHITA
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State | KS
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Zip | 67226-4614
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Country | US
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Telephone | 623-606-8170
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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 | LPC-05024
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License Number State | KS
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