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General NPI Number Information
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NPI Number | 1619619012
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Entity Type | Individual
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Provider Name | RACHEL JAQUETTA WEHRY LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/07/2022
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 12828 E 13TH ST N STE 14
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City | WICHITA
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State | KS
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Zip | 67230-1466
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Country | US
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Telephone | 316-655-8088
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Fax |
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Provider Business Mailing Address
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Address Line | 303 N WEST ST
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City | LEON
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State | KS
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Zip | 67074-7416
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Country | US
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Telephone | 316-655-8088
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 10486
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License Number State | KS
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