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General NPI Number Information
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NPI Number | 1740077635
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Entity Type | Organization
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Legal Business Name | KAHANALO CONSULTING LLC
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 42 SIMS ST STE 12
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City | DICKINSON
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State | ND
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Zip | 58601-5116
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Country | US
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Telephone | 701-590-1196
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Fax | 701-495-0106
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Provider Business Mailing Address
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Address Line | 42 SIMS ST STE 12
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City | DICKINSON
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State | ND
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Zip | 58601-5116
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Country | US
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Telephone | 701-590-1196
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Fax | 701-495-0106
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA BARNARD
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Credential | DBH, LCSW
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Telephone | 701-590-1196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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