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NPI 1225407422

NPI 1225407422 : CENTERPOINTE, INC. : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1225407422
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTERPOINTE, INC. 
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Dates
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    Enumeration Date     |    09/17/2015
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    Last Update Date     |    04/25/2022
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Provider Practice Location Address
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    Address Line         |    2039 Q ST 2
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68503-3643
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    Country              |    US
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    Telephone            |    402-904-4081
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    Fax                  |    402-904-5098
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Provider Business Mailing Address
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    Address Line         |    2633 P ST 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68503-3528
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    Country              |    US
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    Telephone            |    402-475-8717
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    Fax                  |    402-475-8721
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Authorized Official
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    Title or Position    |    CHIEF INFORMATION OFFICER
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    Name                 |     CHRISTINE  MCCOLLISTER 
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    Credential           |    
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    Telephone            |    402-475-8717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320800000X
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    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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