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General NPI Number Information
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NPI Number | 1841469947
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE FAMILY & THERAPY SERVICES, P.A.
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 641 S HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67211-3001
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Country | US
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Telephone | 316-684-2422
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Fax | 316-684-1210
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Provider Business Mailing Address
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Address Line | 641 S HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67211-3001
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Country | US
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Telephone | 316-684-2422
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Fax | 316-684-1210
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHRISTINA MARIE WEBER
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Credential | LCMFT
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Telephone | 316-684-2422
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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 | 074
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License Number State | KS
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