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General NPI Number Information
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NPI Number | 1619426517
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Entity Type | Organization
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Legal Business Name | AFFILIATED HEALTH AND WELLNESS OUTPATIENT TREATMENT
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 10/03/2016
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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 | 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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Authorized Official
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Title or Position | OWNER
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Name | DARCY D BUEHLER
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Credential | PHD
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Telephone | 316-636-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | KS
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