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General NPI Number Information
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NPI Number | 1336343292
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH ASSOCIATES
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 12/02/2016
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Provider Practice Location Address
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Address Line | 650 J ST SUITE 403
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City | LINCOLN
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State | NE
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Zip | 68508-2900
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Country | US
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Telephone | 402-435-1313
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Fax | 402-435-5056
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Provider Business Mailing Address
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Address Line | 650 J ST SUITE 403
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City | LINCOLN
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State | NE
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Zip | 68508-2900
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Country | US
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Telephone | 402-435-1313
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Fax | 402-435-5056
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | JAMES C CARMER
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Credential | PH.D.
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Telephone | 402-435-1313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7585
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7110
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1413
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 217
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 517
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License Number State | NE
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1140
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License Number State | NE
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Taxonomy #7
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1704
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License Number State | NE
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