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General NPI Number Information
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NPI Number | 1932589330
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Entity Type | Individual
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Provider Name | WILLIAM KENNETH SANSING JR. PHD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 100 STARR AVE STE K
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City | STARKVILLE
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State | MS
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Zip | 39759-4032
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Country | US
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Telephone | 662-340-5947
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Fax | 662-200-5960
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Provider Business Mailing Address
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Address Line | 309 EAST LAMPKIN STREET
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City | STARKVILLE
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State | MS
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Zip | 39759
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Country | US
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Telephone | 662-617-0202
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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