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General NPI Number Information
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NPI Number | 1093967564
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Entity Type | Organization
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Legal Business Name | REBECCA STEFANSKI
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Dates
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Enumeration Date | 10/16/2008
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 7120 S 29TH ST SUITE 200
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City | LINCOLN
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State | NE
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Zip | 68516-5802
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Country | US
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Telephone | 402-310-9526
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Fax | 402-261-5405
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Provider Business Mailing Address
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Address Line | 7120 S 29TH ST SUITE 200
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City | LINCOLN
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State | NE
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Zip | 68516-5802
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Country | US
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Telephone | 402-310-9526
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Fax | 402-261-5405
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | REBECCA SUE STEFANSKI
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Credential | LIMHP, LMHP, CMFT
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Telephone | 402-310-9526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 805
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License Number State | NE
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