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General NPI Number Information
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NPI Number | 1235950262
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Entity Type | Organization
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Legal Business Name | AFFINITY COMPREHENSIVE COUNSELING
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 1120 DELMAR ST APT 5C
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City | PAPILLION
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State | NE
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Zip | 68046-2883
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Country | US
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Telephone | 402-706-9657
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 DELMAR ST APT 5C
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City | PAPILLION
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State | NE
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Zip | 68046-2883
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Country | US
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Telephone | 402-706-9657
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHEILA LAURREN KENNEDY
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Credential | BS, LADC
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Telephone | 402-706-9657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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