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General NPI Number Information
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NPI Number | 1871888701
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Entity Type | Organization
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Legal Business Name | BARRY REED COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | 108 E POPLAR ST
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City | OLATHE
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State | KS
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Zip | 66061-3354
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Country | US
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Telephone | 913-768-9777
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Fax | 913-768-9422
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Provider Business Mailing Address
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Address Line | 108 E POPLAR ST
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City | OLATHE
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State | KS
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Zip | 66061-3354
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Country | US
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Telephone | 913-768-9777
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Fax | 913-768-9422
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. BARRY THOMAS REED
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Credential |
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Telephone | 913-768-9777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 07300946
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License Number State | KS
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