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General NPI Number Information
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NPI Number | 1730227273
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Entity Type | Individual
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Provider Name | LARSEN K. BARNDS JR. L.C.M.F.T.
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Gender | Male
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Dates
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Enumeration Date | 02/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8014 STATE LINE RD SUITE 112
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3710
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Country | US
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Telephone | 816-346-5133
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Fax |
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Provider Business Mailing Address
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Address Line | 8014 STATE LINE RD SUITE 112
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-3710
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Country | US
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Telephone | 816-346-5133
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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 | MFT 312
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2004019045
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License Number State | MO
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