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General NPI Number Information
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NPI Number | 1003840281
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Entity Type | Organization
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Legal Business Name | LISA HARMON, LCSW, INC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/05/2013
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Provider Practice Location Address
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Address Line | 4830 S 69TH ST
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City | LINCOLN
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State | NE
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Zip | 68516-1501
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Country | US
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Telephone | 402-327-9751
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Fax |
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Provider Business Mailing Address
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Address Line | 4830 S 69TH ST
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City | LINCOLN
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State | NE
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Zip | 68516-1501
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Country | US
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Telephone | 402-327-9751
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LISA HARMON
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Credential | LCSW
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Telephone | 402-327-9751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1618
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License Number State | NE
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