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General NPI Number Information
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NPI Number | 1861159170
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Entity Type | Organization
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Legal Business Name | CLAY IN THE POTTERS HANDS
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Dates
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Enumeration Date | 11/21/2021
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Last Update Date | 11/21/2021
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Provider Practice Location Address
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Address Line | 2020 E CENTRAL AVE
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City | WICHITA
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State | KS
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Zip | 67214-4307
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Country | US
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Telephone | 316-640-2405
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Fax |
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Provider Business Mailing Address
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Address Line | 3231 N CRANBERRY ST
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City | WICHITA
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State | KS
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Zip | 67226-1247
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Country | US
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Telephone | 316-640-2405
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | SHERRI SIMS
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Credential |
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Telephone | 316-640-2405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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