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General NPI Number Information
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NPI Number | 1306919881
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Entity Type | Organization
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Legal Business Name | FIRST STEP RECOVERY CENTER INC.
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 300 S 68TH STREET PL SUITE 500
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City | LINCOLN
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State | NE
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Zip | 68510-2475
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Country | US
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Telephone | 402-434-2730
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Fax | 402-434-3970
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Provider Business Mailing Address
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Address Line | 300 S 68TH STREET PL SUITE 500
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City | LINCOLN
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State | NE
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Zip | 68510-2475
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Country | US
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Telephone | 402-434-2730
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Fax | 402-434-3970
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Authorized Official
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Title or Position | DIRECTOR/OPERATIONS COORDINATOR
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Name | MR. JARED W RAY
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Credential | MA
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Telephone | 402-434-2730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | SATC221
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License Number State | NE
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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 | SATC221
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | SATC221
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | SATC221
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | SATC221
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License Number State | NE
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SATC221
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License Number State | NE
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Taxonomy #7
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | SATC221
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License Number State | NE
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Taxonomy #8
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | SATC221
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License Number State | NE
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Taxonomy #9
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | SATC221
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License Number State | NE
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