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General NPI Number Information
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NPI Number | 1447199229
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Entity Type | Organization
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Legal Business Name | LEAH RUNDLE THERAPY LLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 7570 W 21ST ST N STE 1006C
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City | WICHITA
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State | KS
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Zip | 67205-1773
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Country | US
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Telephone | 316-641-5403
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Fax |
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Provider Business Mailing Address
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Address Line | 8303 W CANDLEWOOD CIR
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City | WICHITA
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State | KS
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Zip | 67205-8600
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Country | US
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Telephone | 316-641-5403
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MRS. LEAH SUZANNE RUNDLE
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Credential | LCPC
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Telephone | 316-641-5403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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