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General NPI Number Information
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NPI Number | 1619399763
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Entity Type | Organization
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Legal Business Name | INTEGRITY ATS, INC.
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Dates
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Enumeration Date | 01/09/2014
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Last Update Date | 01/09/2014
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Provider Practice Location Address
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Address Line | 119 S BALTIMORE AVE
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City | DERBY
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State | KS
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Zip | 67037-1403
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Country | US
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Telephone | 316-806-5622
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Fax |
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Provider Business Mailing Address
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Address Line | 119 S BALTIMORE AVE
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City | DERBY
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State | KS
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Zip | 67037-1403
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Country | US
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Telephone | 316-806-5622
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KATRINKA SHERRON IVIE
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Credential | LAC
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Telephone | 316-806-5622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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