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General NPI Number Information
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NPI Number | 1972829182
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Entity Type | Organization
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Legal Business Name | FIRST CHRISTIAN CHURCH COUNSELING CENTER
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 04/13/2010
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Provider Practice Location Address
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Address Line | 201 N DERBY AVE
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City | DERBY
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State | KS
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Zip | 67037-1713
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Country | US
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Telephone | 316-788-5503
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Fax | 316-788-5551
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Provider Business Mailing Address
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Address Line | 201 N DERBY AVE
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City | DERBY
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State | KS
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Zip | 67037-1713
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Country | US
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Telephone | 316-788-5503
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Fax | 316-788-5551
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. RIK ALSPAW
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Credential | LMFT
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Telephone | 316-788-5503
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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 | 7072
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 921
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 923
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License Number State | KS
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