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General NPI Number Information
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NPI Number | 1467062836
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Entity Type | Organization
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Legal Business Name | ABUNDANT LIFE COUNSELING
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 01/05/2021
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Provider Practice Location Address
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Address Line | 2445 SW WANAMAKER RD STE 204
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City | TOPEKA
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State | KS
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Zip | 66614-5470
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Country | US
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Telephone | 316-253-6026
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Fax |
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Provider Business Mailing Address
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Address Line | 2445 SW WANAMAKER RD STE 204
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City | TOPEKA
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State | KS
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Zip | 66614-5470
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Country | US
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Telephone | 785-260-8570
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Fax | 785-409-6666
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Authorized Official
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Title or Position | OWNER
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Name | ANGELICA PEARCE
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Credential | LCMFT
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Telephone | 785-260-8570
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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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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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