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General NPI Number Information
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NPI Number | 1336361054
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Entity Type | Individual
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Provider Name | KIRA KOCH-LARSEN LMHP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 513 N GRANT ST SUITE D
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City | LEXINGTON
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State | NE
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Zip | 68850-1946
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Country | US
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Telephone | 308-324-3785
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Fax | 308-324-5800
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Provider Business Mailing Address
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Address Line | PO BOX 918
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City | LEXINGTON
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State | NE
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Zip | 68850-0918
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Country | US
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Telephone | 308-324-3785
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Fax | 308-324-5800
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 329
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License Number State | NE
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