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General NPI Number Information
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NPI Number | 1548658313
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Entity Type | Organization
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Legal Business Name | ORR PSYCHOTHERAPY, PC
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Dates
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Enumeration Date | 01/02/2015
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Last Update Date | 08/17/2015
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Provider Practice Location Address
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Address Line | 5600 S 59TH ST SUITE 104
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City | LINCOLN
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State | NE
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Zip | 68516-2386
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Country | US
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Telephone | 402-484-0595
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Fax | 402-484-6306
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Provider Business Mailing Address
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Address Line | 5600 S 59TH ST SUITE 104
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City | LINCOLN
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State | NE
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Zip | 68516-2386
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Country | US
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Telephone | 402-484-0595
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Fax | 402-484-6306
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | KATHLEEN LONERGAN-ORR
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Credential |
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Telephone | 402-484-0595
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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 |
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License Number State |
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