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General NPI Number Information
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NPI Number | 1902617590
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Entity Type | Individual
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Provider Name | ERICA D'LAYNE HERRERA
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Gender | Female
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1237 GOLDEN GATE DR
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City | PAPILLION
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State | NE
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Zip | 68046-2837
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Country | US
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Telephone | 402-807-9371
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Fax |
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Provider Business Mailing Address
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Address Line | 11132 SEWARD PLZ APT 2108
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City | OMAHA
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State | NE
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Zip | 68154-4888
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Country | US
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Telephone | 402-807-9370
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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 | 14217
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License Number State | NE
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