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General NPI Number Information
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NPI Number | 1588726418
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Entity Type | Individual
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Provider Name | YULONDA SWANSON-MOTEN LCMFT
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8014 STATE LINE RD SUITE 114
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3710
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Country | US
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Telephone | 816-519-8524
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Fax | 816-817-0060
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Provider Business Mailing Address
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Address Line | 8014 STATE LINE RD SUITE 114
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3710
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Country | US
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Telephone | 816-519-8524
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Fax | 816-817-0060
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LCMFT 315
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2005001134
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License Number State | MO
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