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NPI 1518265685

NPI 1518265685 : WILLIAM E. PAPINEAU, PH.D., P.A. : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1518265685
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    Entity Type          |    Organization 
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    Legal Business Name  |    WILLIAM E. PAPINEAU, PH.D., P.A. 
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Dates
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    Enumeration Date     |    03/14/2011
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    Last Update Date     |    03/14/2011
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Provider Practice Location Address
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    Address Line         |    833 N WACO AVE SUITE 200
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67203-3989
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    Country              |    US
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    Telephone            |    316-263-2351
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    Fax                  |    316-263-3685
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Provider Business Mailing Address
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    Address Line         |    833 N WACO AVE SUITE 200
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67203-3989
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    Country              |    US
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    Telephone            |    316-263-2351
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    Fax                  |    316-263-3685
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Authorized Official
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    Title or Position    |    LICENSED PSYCHOLOGIST
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    Name                 |    DR. WILLIAM E PAPINEAU 
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    Credential           |    PH.D.
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    Telephone            |    316-263-2351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    583
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    License Number State |    KS
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