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General NPI Number Information
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NPI Number | 1578334132
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Entity Type | Organization
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Legal Business Name | CHANGE POINTE LLC
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 2606 N FLEMING ST STE 2
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City | GARDEN CITY
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State | KS
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Zip | 67846-3254
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Country | US
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Telephone | 620-982-2093
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Fax | 620-710-7636
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Provider Business Mailing Address
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Address Line | PO BOX 191
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City | GARDEN CITY
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State | KS
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Zip | 67846-0191
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Country | US
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Telephone | 620-271-8650
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Fax |
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Authorized Official
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Title or Position | OWNER/BEHAVIORAL HEALTH SPECIALIST
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Name | MS. ROBIN RAE UNRUH
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Credential | LSCSW, LISW, LCAC
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Telephone | 620-982-2093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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