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General NPI Number Information
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NPI Number | 1922771278
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Entity Type | Individual
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Provider Name | ALLYSON MARIE BENCE MSW, LSCSW
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Gender | Female
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 7500 W 160TH ST STE 100
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City | STILWELL
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State | KS
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Zip | 66085-8100
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Country | US
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Telephone | 913-404-5232
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Fax | 913-423-1230
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Provider Business Mailing Address
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Address Line | 1910 S ROUSE ST APT 211
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City | PITTSBURG
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State | KS
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Zip | 66762-6738
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Country | US
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Telephone | 620-875-5189
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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 | LMSW12275
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSCSW06299
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License Number State | KS
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