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NPI 1194274035

NPI 1194274035 : CHRIS J. CRINER, PC : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1194274035
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHRIS J. CRINER, PC 
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Dates
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    Enumeration Date     |    10/03/2016
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    Last Update Date     |    10/03/2016
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Provider Practice Location Address
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    Address Line         |    1650 S 70TH ST STE 202 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68506-1569
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    Country              |    US
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    Telephone            |    402-450-2381
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    Fax                  |    402-484-0031
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Provider Business Mailing Address
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    Address Line         |    1650 S 70TH ST STE 202 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68506-1569
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    Country              |    US
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    Telephone            |    402-450-2381
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    Fax                  |    402-484-0031
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Authorized Official
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    Title or Position    |    LMHP
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    Name                 |    MR. CHRIS JAMES CRINER 
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    Credential           |    MS
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    Telephone            |    402-450-2381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    LMHP 2345
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    License Number State |    NE
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