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NPI 1992857262

NPI 1992857262 : CYNTHIA LANDERS PH.D. : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1992857262
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    Entity Type          |    Individual 
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    Provider Name        |    CYNTHIA LANDERS PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/17/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2319 E MESITA ST 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67211-3737
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    Country              |    US
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    Telephone            |    316-269-4178
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2319 E MESITA ST 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67211-3737
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    Country              |    US
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    Telephone            |    316-269-4178
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    1463897071
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    License Number State |    KS
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