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General NPI Number Information
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NPI Number | 1861201238
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Entity Type | Individual
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Provider Name | PEYTON QUANDT
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Gender | Female
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 01/05/2025
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Provider Practice Location Address
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Address Line | 8100 E 22ND ST N BLDG 2100-4
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City | WICHITA
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State | KS
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Zip | 67226-2330
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Country | US
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Telephone | 316-358-7128
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Fax |
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Provider Business Mailing Address
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Address Line | 545 N WOODLAWN BLVD
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City | WICHITA
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State | KS
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Zip | 67208-3645
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Country | US
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Telephone | 316-260-6889
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 14005
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License Number State | KS
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