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General NPI Number Information
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NPI Number | 1669873865
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Entity Type | Individual
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Provider Name | PATRICIA LORD LCPC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2014
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 801 E DOUGLAS AVE
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City | WICHITA
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State | KS
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Zip | 67202-3548
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Country | US
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Telephone | 913-620-3260
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Fax |
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Provider Business Mailing Address
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Address Line | 7412 W 158TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66223-3699
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Country | US
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Telephone | 913-620-3260
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2661
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2019013521
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License Number State | MO
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