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General NPI Number Information
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NPI Number | 1104604073
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Entity Type | Organization
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Legal Business Name | PEOPLE'S CITY MISSION
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 110 Q ST
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City | LINCOLN
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State | NE
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Zip | 68508-2345
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Country | US
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Telephone | 402-475-1303
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Fax |
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Provider Business Mailing Address
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Address Line | 110 Q ST
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City | LINCOLN
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State | NE
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Zip | 68508-2345
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Country | US
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Telephone | 402-475-1303
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TOM BARBER
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Credential |
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Telephone | 402-475-1303
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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