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NPI 1952286023

NPI 1952286023 : TRENT LANDENBERGER T-LMFT : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1952286023
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    Entity Type          |    Individual 
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    Provider Name        |    TRENT LANDENBERGER T-LMFT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/07/2025
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    Last Update Date     |    09/09/2025
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Provider Practice Location Address
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    Address Line         |    7570 W 21ST ST N STE B 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67205-1734
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    Country              |    US
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    Telephone            |    316-239-1880
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11407 W DELANO ST 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67212-6534
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    Country              |    US
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    Telephone            |    
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    03737-T
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    License Number State |    KS
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