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General NPI Number Information
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NPI Number | 1629643804
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Entity Type | Organization
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Legal Business Name | KIMBLE COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 250 N ROCK RD STE 300P
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City | WICHITA
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State | KS
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Zip | 67206-2263
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Country | US
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Telephone | 316-655-1001
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Fax |
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Provider Business Mailing Address
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Address Line | 537 N RIDGEHURST ST
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City | WICHITA
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State | KS
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Zip | 67230-1619
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Country | US
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Telephone | 316-655-1001
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DUNG K HOANG-KIMBLE
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Credential | LMSW
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Telephone | 316-655-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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