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General NPI Number Information
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NPI Number | 1093739112
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Entity Type | Individual
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Provider Name | ROLAND T MARSH M.S.W.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2511 W DIVISION ST
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City | GRAND ISLAND
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State | NE
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Zip | 68803-5361
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Country | US
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Telephone | 308-227-9271
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Fax |
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Provider Business Mailing Address
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Address Line | 111 N 56TH ST SUITE 302
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City | LINCOLN
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State | NE
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Zip | 68504-3583
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Country | US
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Telephone | 402-486-1600
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Fax | 402-486-1600
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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 | 3018
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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 | 1195
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License Number State | NE
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