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General NPI Number Information
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NPI Number | 1578254314
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Entity Type | Individual
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Provider Name | MEREDITH TRANK M.A., M.DIV.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 6300 N REVERE DR STE 270
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City | KANSAS CITY
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State | MO
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Zip | 64151-3919
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Country | US
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Telephone | 913-735-0577
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Fax |
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Provider Business Mailing Address
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Address Line | 1236 COLLEGIAN TER
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City | WINSTON SALEM
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State | NC
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Zip | 27106-6340
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Country | US
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Telephone | 512-921-1033
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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 |
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License Number State |
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