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General NPI Number Information
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NPI Number | 1780638999
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Entity Type | Organization
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Legal Business Name | ERIN IS HOPE FOUNDATION INC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 01/14/2011
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Provider Practice Location Address
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Address Line | 4921 E 21ST ST N
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City | WICHITA
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State | KS
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Zip | 67208-1602
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Country | US
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Telephone | 316-681-3204
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Fax | 316-681-0541
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Provider Business Mailing Address
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Address Line | 4921 E 21ST ST N
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City | WICHITA
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State | KS
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Zip | 67208-1602
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Country | US
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Telephone | 316-681-3204
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Fax | 316-681-0541
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUDY LYNN POLLARD-LICKLIDER
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Credential | MA CCC SLP
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Telephone | 316-681-3204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3582
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 17-02321
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2900
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 17-02079
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2757
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License Number State | KS
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2304
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License Number State | KS
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Taxonomy #7
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 998
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License Number State | KS
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