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General NPI Number Information
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NPI Number | 1639099732
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Entity Type | Organization
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Legal Business Name | OLUAE LLC
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Dates
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Enumeration Date | 07/18/2026
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Last Update Date | 07/18/2026
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Provider Practice Location Address
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Address Line | 1721 E OSAGE RD STE 100
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City | DERBY
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State | KS
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Zip | 67037-2198
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Country | US
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Telephone | 316-806-3204
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Fax |
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Provider Business Mailing Address
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Address Line | 4009 BROOKS AVE
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City | WICHITA
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State | KS
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Zip | 67220-2522
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGEL B WARRIOR
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Credential |
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Telephone | 316-806-3204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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