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General NPI Number Information
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NPI Number | 1356607816
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Entity Type | Organization
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Legal Business Name | METSCHKE COUNSELING CENTER
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 128 N 6TH ST STE F
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City | SEWARD
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State | NE
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Zip | 68434-2072
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Country | US
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Telephone | 402-646-0103
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Fax |
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Provider Business Mailing Address
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Address Line | 2979 LITTLE SALT RD
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City | SEWARD
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State | NE
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Zip | 68434-7803
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Country | US
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Telephone | 402-646-0103
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | AMY METSCHKE
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Credential | LADC
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Telephone | 402-646-0103
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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 | 981
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License Number State | NE
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