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General NPI Number Information
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NPI Number | 1598168957
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Entity Type | Organization
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Legal Business Name | ADVANCED CLINICAL SOLUTIONS
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 1715 E CEDAR ST SUITE 115
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City | OLATHE
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State | KS
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Zip | 66062-1891
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Country | US
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Telephone | 816-682-3042
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Fax | 816-554-9142
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Provider Business Mailing Address
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Address Line | 1715 E CEDAR ST SUITE 115
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City | OLATHE
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State | KS
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Zip | 66062-1891
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Country | US
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Telephone | 816-682-3042
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Fax | 816-554-9142
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Authorized Official
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Title or Position | CO-OWNER
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Name | STACEY E HALL
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Credential | LSCSW
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Telephone | 816-977-3178
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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 | 3935
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License Number State | KS
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