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General NPI Number Information
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NPI Number | 1336951870
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Entity Type | Organization
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Legal Business Name | REGION II SERVICES-SUPPORTING PEOPLE WITH DEVELOPMENTAL DISABILITIES
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 1300 E 4TH ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-4393
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Country | US
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Telephone | 308-535-8072
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 732
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City | NORTH PLATTE
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State | NE
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Zip | 69103-0732
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Country | US
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Telephone | 308-535-8072
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KYLIE JOYCE
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Credential | PLMHP, PCMSW
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Telephone | 308-535-8072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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