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General NPI Number Information
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NPI Number | 1639982473
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Entity Type | Organization
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Legal Business Name | WOMEN OF PROVERBS 31 LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 3114 S FERN AVE
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City | WICHITA
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State | KS
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Zip | 67217-2556
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Country | US
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Telephone | 620-617-9204
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Fax |
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Provider Business Mailing Address
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Address Line | 3114 S FERN AVE
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City | WICHITA
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State | KS
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Zip | 67217-2556
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Country | US
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Telephone | 620-617-9204
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Fax |
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Authorized Official
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Title or Position | ORGANIZER
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Name | CIERA MELODY CELL
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Credential |
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Telephone | 620-617-9204
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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 |
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License Number State |
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