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General NPI Number Information
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NPI Number | 1669150108
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Entity Type | Individual
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Provider Name | KIARA LIGGONS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 5103 LAKESIDE AVE
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City | RICHMOND
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State | VA
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Zip | 23228-6003
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Country | US
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Telephone | 804-298-0986
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Fax |
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Provider Business Mailing Address
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Address Line | 7716 BOGEY PL
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City | GLEN ALLEN
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State | VA
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Zip | 23059-7416
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Country | US
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Telephone | 804-298-0986
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | VA
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