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General NPI Number Information
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NPI Number | 1801954557
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Entity Type | Organization
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Legal Business Name | SEDGWICK COUNTY DEVELOPMENTAL DISABILITY ORGANIZATION
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 02/23/2012
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Provider Practice Location Address
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Address Line | 615 N. MAIN
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City | WICHITA
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State | KS
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Zip | 67203
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Country | US
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Telephone | 316-660-7630
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Fax |
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Provider Business Mailing Address
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Address Line | 615 N MAIN ST
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City | WICHITA
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State | KS
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Zip | 67203-3602
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Country | US
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Telephone | 316-660-7630
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Fax |
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Authorized Official
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Title or Position | SR. ADMINISTRATIVE OFFICER
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Name | MRS. SHERRY ARBUCKLE
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Credential |
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Telephone | 316-660-7634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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