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General NPI Number Information
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NPI Number | 1154459121
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Entity Type | Organization
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Legal Business Name | SANDHILLS CENTER FOR SERVICES INC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1712 O ST
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City | ORD
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State | NE
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Zip | 68862-1722
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Country | US
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Telephone | 308-728-7099
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Fax | 308-728-5688
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Provider Business Mailing Address
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Address Line | 1712 O ST PO BOX 113
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City | ORD
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State | NE
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Zip | 68862-1722
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Country | US
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Telephone | 308-728-7099
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Fax | 308-728-5688
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Authorized Official
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Title or Position | OWNER OF SANDHILLS
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Name | MRS. ELLEN K SITZ
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Credential | LMPH LCSW
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Telephone | 308-728-7099
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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 | 1035
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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 | 548
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8241
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License Number State | NE
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