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General NPI Number Information
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NPI Number | 1104603737
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Entity Type | Individual
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Provider Name | JULIA ANN RABEN
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Gender | Female
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 4200 ELKHORN ST
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City | WHITNEY
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State | NE
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Zip | 69367-9502
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Country | US
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Telephone | 308-207-5125
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Fax | 855-551-4086
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Provider Business Mailing Address
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Address Line | 300 SHELTON ST
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City | CHADRON
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State | NE
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Zip | 69337-2312
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Country | US
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Telephone | 308-432-8979
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Fax | 308-432-8974
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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 | 21054
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 14115
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License Number State | NE
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