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General NPI Number Information
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NPI Number | 1811169196
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Entity Type | Organization
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Legal Business Name | ACTS COUNSELING CENTER
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 8918 W 21ST ST N STE 200
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City | WICHITA
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State | KS
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Zip | 67205-1880
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Country | US
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Telephone | 316-722-2848
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Fax | 316-722-2848
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Provider Business Mailing Address
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Address Line | 8918 W 21ST ST N STE 200
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City | WICHITA
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State | KS
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Zip | 67205-1880
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Country | US
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Telephone | 316-722-2848
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Fax | 316-722-2848
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DONNA BOTINELLY
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Credential |
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Telephone | 316-722-2848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 147
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License Number State | KS
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