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General NPI Number Information
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NPI Number | 1639001100
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Entity Type | Organization
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Legal Business Name | ACORNS TO OAKS PEDIATRIC PSYCHIATRY LLC
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 120 E MAPLE ST STE 206
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City | COLUMBUS
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State | KS
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Zip | 66725-1802
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Country | US
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Telephone | 620-429-5314
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Fax |
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Provider Business Mailing Address
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Address Line | 120 E MAPLE ST STE 206
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City | COLUMBUS
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State | KS
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Zip | 66725-1802
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Country | US
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Telephone | 620-429-5314
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA D WILLIAMS
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Credential |
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Telephone | 918-533-3956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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