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General NPI Number Information
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NPI Number | 1225682396
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Entity Type | Individual
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Provider Name | JANET LUANA FRIESEN
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Gender | Female
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Dates
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Enumeration Date | 07/27/2019
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Last Update Date | 07/27/2019
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Provider Practice Location Address
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Address Line | 3201 PIONEERS BLVD STE 222
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City | LINCOLN
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State | NE
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Zip | 68502-5963
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Country | US
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Telephone | 402-413-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 4501 S 54TH ST
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City | LINCOLN
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State | NE
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Zip | 68516-1313
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Country | US
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Telephone | 402-613-6395
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11927
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License Number State | NE
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