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General NPI Number Information
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NPI Number | 1497554067
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Entity Type | Organization
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Legal Business Name | FORGE AND VAULT LLC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 121 N 7TH ST
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City | SALINA
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State | KS
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Zip | 67401-2603
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Country | US
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Telephone | 785-829-1671
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Fax | 785-588-4106
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Provider Business Mailing Address
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Address Line | 121 N 7TH ST
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City | SALINA
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State | KS
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Zip | 67401-2603
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Country | US
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Telephone | 785-829-1671
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Fax | 785-588-4106
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Authorized Official
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Title or Position | CO-OWNER
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Name | LYDIA LUND
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Credential |
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Telephone | 785-829-1671
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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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