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General NPI Number Information
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NPI Number | 1851666002
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Entity Type | Organization
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Legal Business Name | ADRIENNE A. VANZANDT, LLC
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 250 N ROCK RD SUITE 380
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City | WICHITA
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State | KS
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Zip | 67206-2203
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Country | US
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Telephone | 316-295-4757
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Fax | 316-295-4750
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Provider Business Mailing Address
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Address Line | 250 N ROCK RD SUITE 380
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City | WICHITA
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State | KS
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Zip | 67206-2203
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Country | US
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Telephone | 316-295-4757
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Fax | 316-295-4750
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. ADRIENNE A. VANZANDT
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Credential | MS, LCMFT
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Telephone | 316-295-4757
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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 | 797
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License Number State | KS
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