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NPI 1023274693

NPI 1023274693 : CYNTHIA L. PAGE PHD : BOYS TOWN, NE

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General NPI Number Information
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    NPI Number           |    1023274693
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    Entity Type          |    Individual 
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    Provider Name        |    CYNTHIA L. PAGE PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2008
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    Last Update Date     |    08/12/2025
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Provider Practice Location Address
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    Address Line         |    13460 WALSH DR 
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    City                 |    BOYS TOWN
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    State                |    NE
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    Zip                  |    68010-7529
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    Country              |    US
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    Telephone            |    402-498-3358
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    Fax                  |    402-498-3375
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Provider Business Mailing Address
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    Address Line         |    909 S 76TH ST 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68114-4519
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    Country              |    US
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    Telephone            |    402-390-2100
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    562
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    License Number State |    NE
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Taxonomy #2
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    8671
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    License Number State |    NE
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Taxonomy #3
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    
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    License Number State |    
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