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General NPI Number Information
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NPI Number | 1508233123
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Entity Type | Organization
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Legal Business Name | ADDICTION RECOVERY COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/31/2015
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Last Update Date | 08/31/2015
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Provider Practice Location Address
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Address Line | 120 E 5TH AVE
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City | AUGUSTA
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State | KS
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Zip | 67010-1010
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Country | US
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Telephone | 316-351-7138
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Fax | 316-295-4786
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Provider Business Mailing Address
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Address Line | 120 E 5TH AVE
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City | AUGUSTA
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State | KS
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Zip | 67010-1010
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Country | US
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Telephone | 316-351-7138
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Fax | 316-295-4786
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MS. NANCY D. CHAVEZ
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Credential | LAC 473
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Telephone | 316-351-7138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 002H003S
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License Number State | KS
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