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General NPI Number Information
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NPI Number | 1528878543
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Entity Type | Individual
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Provider Name | GREGORY CHEWNING
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Gender | Male
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 8623 E 32ND ST N
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City | WICHITA
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State | KS
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Zip | 67226-3317
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Country | US
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Telephone | 316-869-2888
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Fax |
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Provider Business Mailing Address
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Address Line | 4104 E MORRIS ST
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City | WICHITA
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State | KS
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Zip | 67218-2116
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Country | US
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Telephone | 316-990-1803
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC04936
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 04396
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC04936
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License Number State | KS
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