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General NPI Number Information
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NPI Number | 1295087898
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Entity Type | Organization
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Legal Business Name | JEANNIE L.B. SCHLOTFELD LCSW LLC
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Dates
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Enumeration Date | 10/05/2012
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 7111 A ST SUITE 200
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City | LINCOLN
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State | NE
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Zip | 68510-4283
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Country | US
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Telephone | 402-730-6415
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Fax | 402-489-7828
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Provider Business Mailing Address
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Address Line | 7111 A ST SUITE 200
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City | LINCOLN
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State | NE
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Zip | 68510-4283
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Country | US
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Telephone | 402-489-7827
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Fax | 402-489-7828
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Authorized Official
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Title or Position | LCSW/OWNER
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Name | MRS. JEANNIE L.B. SCHLOTFELD
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Credential | LCSW
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Telephone | 402-730-6415
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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 | 1455, 4082
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License Number State | NE
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