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General NPI Number Information
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NPI Number | 1700733391
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Entity Type | Organization
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Legal Business Name | DEPTH KC LLC
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 6800 W 107TH ST STE 200
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City | OVERLAND PARK
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State | KS
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Zip | 66212-1830
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Country | US
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Telephone | 913-228-2879
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 E DOUGLAS AVE STE 150
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City | WICHITA
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State | KS
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Zip | 67218-1011
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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 | CLINICAL DIRECTOR
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Name | DR. JOSHUA RICHARD PASZKIEWICZ
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Credential | DHA, LCPC, RN
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Telephone | 913-228-2870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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