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General NPI Number Information
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NPI Number | 1023019718
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Entity Type | Organization
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Legal Business Name | DOUGLAS COUNTY NEBRASKA
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 4102 WOOLWORTH AVE
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City | OMAHA
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State | NE
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Zip | 68105-1899
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Country | US
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Telephone | 402-444-7608
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Fax |
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Provider Business Mailing Address
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Address Line | 4102 WOOLWORTH AVE
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City | OMAHA
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State | NE
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Zip | 68105-1899
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Country | US
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Telephone | 402-444-7608
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. SHERRY L DRIVER
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Credential | LIMHP
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Telephone | 402-444-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 260006
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License Number State | NE
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