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General NPI Number Information
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NPI Number | 1811802911
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Entity Type | Individual
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Provider Name | NICKIA B LARSEN
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Gender | Female
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 823 N MAIN ST
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City | MCPHERSON
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State | KS
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Zip | 67460-2839
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Country | US
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Telephone | 620-303-7766
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Fax |
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Provider Business Mailing Address
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Address Line | 1145 13TH RD
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City | LYONS
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State | KS
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Zip | 67554-9274
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 03897-T
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License Number State | KS
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