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General NPI Number Information
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NPI Number | 1013149178
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Entity Type | Organization
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Legal Business Name | THURMAN PSYCHOLOGICAL LLC
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Dates
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Enumeration Date | 08/21/2009
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Last Update Date | 08/21/2009
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Provider Practice Location Address
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Address Line | 427 E KANESVILLE BLVD SUITE #406
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-9079
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Country | US
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Telephone | 402-715-4321
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Fax | 402-715-4343
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Provider Business Mailing Address
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Address Line | 6790 GROVER ST SUITE #100
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City | OMAHA
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State | NE
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Zip | 68106-3642
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Country | US
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Telephone | 402-715-4321
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Fax | 402-715-4343
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. ROSANNA MARIE JONES-THURMAN
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Credential | PHD
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Telephone | 402-715-4321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 00799
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License Number State | IA
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