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General NPI Number Information
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NPI Number | 1346059391
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Entity Type | Individual
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Provider Name | NYAREAK GATWECH PECH PLADC
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Gender | Female
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Dates
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Enumeration Date | 01/04/2025
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Last Update Date | 01/04/2025
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Provider Practice Location Address
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Address Line | 2205 OSBORNE DR E
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City | HASTINGS
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State | NE
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Zip | 68901-2633
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Country | US
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Telephone | 402-469-6462
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 OSBORNE DR E
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City | HASTINGS
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State | NE
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Zip | 68901-2633
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Country | US
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Telephone | 402-469-6462
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | P-2266
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License Number State | NE
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