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General NPI Number Information
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NPI Number | 1013304187
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Entity Type | Organization
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Legal Business Name | LORIE ESCOBAR COUNSELING LLC
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Dates
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Enumeration Date | 04/16/2015
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 8101 O ST
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City | LINCOLN
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State | NE
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Zip | 68510-2646
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Country | US
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Telephone | 402-540-2354
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 SOUTHHAVEN DR
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City | LINCOLN
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State | NE
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Zip | 68516-1250
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Country | US
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Telephone | 402-540-2354
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MISS LORIE ANN ESCOBAR
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Credential | MA
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Telephone | 402-540-2354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9260
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License Number State | NE
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