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General NPI Number Information
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NPI Number | 1770310872
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Entity Type | Individual
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Provider Name | AVERY MARGARET NIERNBERGER LPC
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Gender | Female
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Dates
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Enumeration Date | 09/14/2024
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Last Update Date | 02/01/2026
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Provider Practice Location Address
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Address Line | 300 W DOUGLAS AVE STE 625
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City | WICHITA
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State | KS
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Zip | 67202-2917
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Country | US
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Telephone | 316-302-5083
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Fax | 888-518-6261
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Provider Business Mailing Address
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Address Line | 211 N ANDOVER RD
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City | ANDOVER
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State | KS
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Zip | 67002-0149
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Country | US
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Telephone | 316-250-8812
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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 | 05222
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License Number State | KS
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