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General NPI Number Information
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NPI Number | 1922544691
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Entity Type | Individual
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Provider Name | KIRA PEARSON LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/18/2017
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 700 R ST # 321
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City | LINCOLN
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State | NE
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Zip | 68501-0010
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Country | US
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Telephone | 308-529-3770
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Fax |
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Provider Business Mailing Address
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Address Line | 4240 W LUDWIG DR
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City | LINCOLN
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State | NE
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Zip | 68528-2711
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Country | US
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Telephone | 308-529-3770
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Fax | 402-261-9274
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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 | 11104
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License Number State | NE
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