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General NPI Number Information
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NPI Number | 1972255743
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Entity Type | Individual
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Provider Name | CIARA MOULD LCP, LMLP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 1223 N ROCK RD STE A100
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City | WICHITA
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State | KS
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Zip | 67206-1271
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Country | US
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Telephone | 316-241-1907
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Fax |
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Provider Business Mailing Address
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Address Line | 8710 E 44TH ST N
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City | WICHITA
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State | KS
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Zip | 67226-8913
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 01550
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License Number State |
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