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General NPI Number Information
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NPI Number | 1063183531
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Entity Type | Individual
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Provider Name | ARIEL KIRKLAND LPC, LSSP
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Gender | Female
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Dates
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Enumeration Date | 09/24/2021
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Last Update Date | 09/24/2021
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Provider Practice Location Address
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Address Line | 1003 3RD STREET
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City | LORENZO
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State | TX
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Zip | 79343
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Country | US
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Telephone | 806-634-5591
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Fax |
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Provider Business Mailing Address
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Address Line | 6302 79TH ST UNIT 2
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City | LUBBOCK
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State | TX
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Zip | 79424-8763
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Country | US
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Telephone | 469-601-4758
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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 | 79810
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 71967
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License Number State | TX
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