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General NPI Number Information
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NPI Number | 1346395902
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Entity Type | Organization
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Legal Business Name | THE OMAHA HOME FOR BOYS
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4343 N 52ND ST
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City | OMAHA
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State | NE
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Zip | 68104-2803
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Country | US
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Telephone | 402-457-7000
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Fax | 402-457-7162
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Provider Business Mailing Address
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Address Line | 4343 N 52ND ST
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City | OMAHA
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State | NE
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Zip | 68104-2803
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Country | US
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Telephone | 402-457-7000
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Fax | 402-457-7162
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Authorized Official
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Title or Position | ADMINISTRATIVE SUPERVISOR
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Name | STEPHANYE M. FOSTER
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Credential |
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Telephone | 402-457-7107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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