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NPI 1609208974

NPI 1609208974 : MARIA FARHA BLEWSTER PSYD : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1609208974
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    Entity Type          |    Individual 
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    Provider Name        |    MARIA FARHA BLEWSTER PSYD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/08/2013
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    Last Update Date     |    02/03/2026
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Provider Practice Location Address
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    Address Line         |    1855 N WEBB RD 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67206-3413
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    Country              |    US
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    Telephone            |    316-636-2888
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    Fax                  |    316-636-2366
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Provider Business Mailing Address
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    Address Line         |    4800 N SCOTTSDALE RD STE 2500 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85251-7630
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    Country              |    US
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    Telephone            |    316-636-2888
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    01510
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    SW-1524-I
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    License Number State |    AZ
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