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General NPI Number Information
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NPI Number | 1821137084
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Entity Type | Individual
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Provider Name | JOHN PAUL SENN MS, LMFT
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 1505 S OSWEGO AVE
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City | RUSSELLVILLE
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State | AR
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Zip | 72802-2673
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Country | US
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Telephone | 479-967-3370
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 679
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City | MORRILTON
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State | AR
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Zip | 72110-0679
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | A0305005
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | A0805006
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License Number State | AR
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