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General NPI Number Information
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NPI Number | 1093371171
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Entity Type | Individual
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Provider Name | BRITTANY SUE CHILDRESS
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Gender | Female
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Dates
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Enumeration Date | 05/14/2019
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 1460 35TH AVE
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City | COLUMBUS
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State | NE
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Zip | 68601-4731
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Country | US
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Telephone | 402-562-6767
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Fax |
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Provider Business Mailing Address
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Address Line | 829 W PARK ST
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City | ALBION
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State | NE
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Zip | 68620-1532
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Country | US
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Telephone | 402-741-9027
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11772
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7347
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License Number State | NE
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