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General NPI Number Information
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NPI Number | 1295624294
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Entity Type | Individual
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Provider Name | KRISTIN KAY DOBISH
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 1700 BROADWAY ST
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City | HOLDREGE
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State | NE
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Zip | 68949-1204
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Country | US
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Telephone | 308-995-4339
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Fax |
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Provider Business Mailing Address
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Address Line | 308 W 5TH ST
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City | AXTELL
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State | NE
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Zip | 68924-3450
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Country | US
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Telephone | 308-730-7210
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | NE
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