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General NPI Number Information
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NPI Number | 1972342236
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Entity Type | Organization
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Legal Business Name | TRANQUIL PLAINS THERAPY, LLC
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 210 SOUTHWIND PL STE 2B
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City | MANHATTAN
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State | KS
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Zip | 66503-3184
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Country | US
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Telephone | 785-477-6648
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Fax |
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Provider Business Mailing Address
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Address Line | 210 SOUTHWIND PL STE 2B
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City | MANHATTAN
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State | KS
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Zip | 66503-3184
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Country | US
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Telephone | 785-477-6648
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHANDLER WHALEY
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Credential | LCP
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Telephone | 402-880-4057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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