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General NPI Number Information
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NPI Number | 1972043040
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Entity Type | Organization
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Legal Business Name | HUTCHINSON PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 125 W 2ND AVE STE E
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City | HUTCHINSON
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State | KS
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Zip | 67501-5263
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Country | US
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Telephone | 620-663-4802
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Fax | 620-663-9867
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Provider Business Mailing Address
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Address Line | PO BOX 1221
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City | HUTCHINSON
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State | KS
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Zip | 67504-1221
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Country | US
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Telephone | 620-663-4802
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Fax | 620-663-9867
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. AJ BARNES
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Credential |
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Telephone | 620-663-4802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0374
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License Number State | KS
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