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General NPI Number Information
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NPI Number | 1295033801
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Entity Type | Organization
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Legal Business Name | CONVENIENT COUNSELING, LLC
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Dates
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Enumeration Date | 03/05/2011
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Last Update Date | 03/05/2011
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Provider Practice Location Address
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Address Line | 13548 DISCOVERY DR SUITE B
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City | OMAHA
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State | NE
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Zip | 68137-3003
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Country | US
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Telephone | 402-659-4109
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Fax |
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Provider Business Mailing Address
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Address Line | 13548 DISCOVERY DR SUITE B
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City | OMAHA
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State | NE
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Zip | 68137-3003
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Country | US
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Telephone | 402-659-4109
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAMELA OSBORNE
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Credential | MSW
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Telephone | 402-659-4109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 383, 1802, 880
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License Number State | NE
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