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General NPI Number Information
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NPI Number | 1164040127
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Entity Type | Individual
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Provider Name | KRISTI L CHESSMORE PSYCHOLOGIST ASSOC.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2020
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | 306 W 4TH ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-3828
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Country | US
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Telephone | 308-534-4872
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Fax |
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Provider Business Mailing Address
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Address Line | 306 W 4TH ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-3828
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Country | US
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Telephone | 308-534-4872
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 2016004627
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License Number State | NE
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