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General NPI Number Information
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NPI Number | 1568195964
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Entity Type | Organization
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Legal Business Name | DYNAMIC PSYCH SERVICES
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 501 DELAWARE ST STE 9
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City | LEAVENWORTH
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State | KS
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Zip | 66048-2664
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Country | US
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Telephone | 702-550-9079
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Fax | 833-334-0273
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Provider Business Mailing Address
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Address Line | 501 DELAWARE ST STE 9
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City | LEAVENWORTH
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State | KS
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Zip | 66048-2664
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Country | US
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Telephone | 702-550-9079
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Fax | 833-334-0273
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Authorized Official
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Title or Position | MANAGER
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Name | DR. COREY KUHN
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Credential | PH. D
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Telephone | 702-550-9079
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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