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General NPI Number Information
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NPI Number | 1992584577
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Entity Type | Individual
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Provider Name | TANA MARIE ARNOLD PHD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 14201 S MUR LEN RD
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City | OLATHE
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State | KS
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Zip | 66062-1884
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Country | US
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Telephone | 913-214-1083
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Fax |
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Provider Business Mailing Address
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Address Line | 14599 S CONSTANCE ST
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City | OLATHE
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State | KS
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Zip | 66062-6597
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Country | US
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Telephone | 913-214-1083
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 3623
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License Number State | KS
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