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General NPI Number Information
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NPI Number | 1780157982
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Entity Type | Organization
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Legal Business Name | CLEAR HORIZON THERAPY INC
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 625 E. CRAWFORD STREET SUITE 209D
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City | SALINA
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State | KS
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Zip | 67401
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Country | US
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Telephone | 785-342-8496
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Fax | 785-322-4529
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Provider Business Mailing Address
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Address Line | 39 WILDCAT CIR
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City | SALINA
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State | KS
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Zip | 67401-7168
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Country | US
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Telephone | 785-342-8496
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Fax | 785-322-4529
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | ANGELICA N NUNEMAKER
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Credential | LSCSW
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Telephone | 785-342-8496
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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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