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General NPI Number Information
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NPI Number | 1699866475
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Entity Type | Individual
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Provider Name | ALAN SMITH LCMFT
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | 22214 D ST STROTHER FIELD
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City | WINFIELD
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State | KS
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Zip | 67156-7376
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Country | US
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Telephone | 620-442-4540
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 S ELIZABETH ST
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City | WICHITA
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State | KS
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Zip | 67213-3741
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Country | US
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Telephone | 316-304-8017
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LCMFT 329
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License Number State | KS
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