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General NPI Number Information
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NPI Number | 1053811091
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Entity Type | Organization
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Legal Business Name | FRANCENE D. BUDA DARDON, MS, PC
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Dates
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Enumeration Date | 02/16/2018
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Last Update Date | 02/16/2018
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Provider Practice Location Address
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Address Line | 701 OLSON DR STE 109
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City | PAPILLION
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State | NE
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Zip | 68046-4797
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Country | US
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Telephone | 402-320-8220
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Fax | 402-330-9587
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Provider Business Mailing Address
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Address Line | 701 OLSON DR STE 109
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City | PAPILLION
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State | NE
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Zip | 68046-4797
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Country | US
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Telephone | 402-320-8220
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Fax | 402-330-9587
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. FRANCENE D BUDA-DARDON
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Credential | CSW
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Telephone | 402-320-8220
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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 | 573
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License Number State | NE
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