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General NPI Number Information
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NPI Number | 1124257159
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Entity Type | Individual
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Provider Name | JOEL C LAU LMHP
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Gender | Male
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Dates
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Enumeration Date | 07/13/2009
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Last Update Date | 07/13/2009
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Provider Practice Location Address
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Address Line | 604 N SAINT JOSEPH AVE
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City | HASTINGS
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State | NE
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Zip | 68901-7530
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Country | US
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Telephone | 402-984-9187
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Fax |
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Provider Business Mailing Address
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Address Line | 919 N SAINT JOSEPH AVE
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City | HASTINGS
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State | NE
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Zip | 68901-3935
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Country | US
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Telephone | 402-984-9187
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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 | 2675
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License Number State | NE
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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 | 1431
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License Number State | NE
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