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General NPI Number Information
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NPI Number | 1013081389
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Entity Type | Organization
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Legal Business Name | VISINET, INC.
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1020 W 2ND ST
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City | GRAND ISLAND
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State | NE
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Zip | 68801-5822
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Country | US
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Telephone | 308-398-4662
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Fax | 308-398-4665
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Provider Business Mailing Address
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Address Line | 1020 W 2ND ST
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City | GRAND ISLAND
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State | NE
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Zip | 68801-5822
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Country | US
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Telephone | 308-398-4662
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Fax | 308-398-4665
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | JOLENE MARIE HERRELL
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Credential | LMHP
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Telephone | 308-398-4662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2629
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License Number State | NV
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