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General NPI Number Information
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NPI Number | 1679909964
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Entity Type | Organization
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Legal Business Name | ENRICHMENT SERVICES OF KANSAS, INC.
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Dates
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Enumeration Date | 09/19/2013
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Last Update Date | 09/19/2013
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Provider Practice Location Address
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Address Line | 2439 ROBIN RD
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City | SALINA
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State | KS
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Zip | 67401-7532
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Country | US
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Telephone | 785-643-4740
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Fax | 785-826-9609
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Provider Business Mailing Address
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Address Line | 2439 ROBIN RD
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City | SALINA
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State | KS
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Zip | 67401-7532
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Country | US
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Telephone | 785-643-4740
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Fax | 785-826-9609
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SUSAN MICHELE NICKEL
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Credential |
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Telephone | 785-643-4740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | KS
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