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General NPI Number Information
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NPI Number | 1730580614
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Entity Type | Organization
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Legal Business Name | COUNSELING ASSOCIATES OF THE FLINT HILLS
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 09/10/2014
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Provider Practice Location Address
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Address Line | 221 W MAIN ST
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City | COUNCIL GROVE
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State | KS
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Zip | 66846-1704
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Country | US
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Telephone | 785-709-0532
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Fax | 785-482-3266
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Provider Business Mailing Address
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Address Line | 221 W MAIN ST
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City | COUNCIL GROVE
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State | KS
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Zip | 66846-1704
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Country | US
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Telephone | 785-709-0532
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Fax | 785-482-3266
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Authorized Official
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Title or Position | CLINICAL MANAGER
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Name | MS. SUSAN NOEL MULRYAN
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Credential | LSCSW
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Telephone | 785-564-0865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1756
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License Number State | KS
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