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General NPI Number Information
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NPI Number | 1982405346
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Entity Type | Organization
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Legal Business Name | STEPPING UP MENTAL HEALTH
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 2601 CENTRAL AVE STE LL22
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City | DODGE CITY
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State | KS
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Zip | 67801-6223
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Country | US
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Telephone | 620-255-9706
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 CENTRAL AVE LL22
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City | DODGE CITY
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State | KS
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Zip | 67801-8458
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Country | US
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Telephone | 620-255-9706
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Fax |
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Authorized Official
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Title or Position | ARNP
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Name | RACHELLE BANNING
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Credential | PMHNP
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Telephone | 620-255-9706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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