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General NPI Number Information
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NPI Number | 1861264442
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Entity Type | Organization
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Legal Business Name | NICOLE KAUK COUNSELING LLC
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Dates
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Enumeration Date | 10/26/2023
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 6911 VAN DORN ST STE 2
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City | LINCOLN
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State | NE
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Zip | 68506-6801
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Country | US
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Telephone | 308-920-2223
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Fax | 531-249-5886
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Provider Business Mailing Address
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Address Line | 6911 VAN DORN ST STE 2
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City | LINCOLN
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State | NE
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Zip | 68506-6801
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Country | US
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Telephone | 308-920-2223
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Fax | 531-249-5886
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE C KAUK
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Credential | LIMHP, LPC
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Telephone | 308-920-2223
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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 |
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License Number State |
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