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General NPI Number Information
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NPI Number | 1508236191
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Entity Type | Individual
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Provider Name | ALENA N/A HOUSHOVA M.A.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 4155 E HARRY ST
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City | WICHITA
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State | KS
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Zip | 67218-3725
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Country | US
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Telephone | 316-831-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 13409 E BELLECHASE ST
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City | WICHITA
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State | KS
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Zip | 67230-7843
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Country | US
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Telephone | 580-458-8635
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2933
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License Number State | KS
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