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General NPI Number Information
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NPI Number | 1134258692
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Entity Type | Individual
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Provider Name | TAMMY GENE KELCH LMHP, LADC, CPC
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 600 N. COTNER BLVD SUITE 106
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City | LINCOLN
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State | NE
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Zip | 68505-0019
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Country | US
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Telephone | 402-890-9957
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Fax | 402-269-3145
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Provider Business Mailing Address
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Address Line | 605 W. 9TH STREET P.O. BOX 264
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City | SYRACUSE
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State | NE
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Zip | 68446-0264
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Country | US
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Telephone | 402-890-9957
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Fax | 402-269-3145
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 638
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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 | 2971
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License Number State | NE
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