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General NPI Number Information
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NPI Number | 1336960194
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Entity Type | Individual
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Provider Name | SARAH JO MEINTS LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 420 VICTORY PARK DR
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City | LINCOLN
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State | NE
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Zip | 68510-2484
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Country | US
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Telephone | 402-669-0364
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Fax |
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Provider Business Mailing Address
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Address Line | 1681 OAK ST
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City | SYRACUSE
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State | NE
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Zip | 68446-9307
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Country | US
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Telephone | 402-297-4997
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1566
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4517
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License Number State | NE
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