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General NPI Number Information
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NPI Number | 1356892764
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Entity Type | Organization
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Legal Business Name | STEVEN BOMAN, MA, LMHP, CMFT
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 1299 FARNAM ST
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City | OMAHA
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State | NE
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Zip | 68102-1880
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Country | US
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Telephone | 402-997-0666
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Fax | 877-839-2161
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Provider Business Mailing Address
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Address Line | 1299 FARNAM ST
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City | OMAHA
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State | NE
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Zip | 68102-1880
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Country | US
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Telephone | 402-997-0666
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Fax | 877-839-2161
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN BOMAN
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Credential |
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Telephone | 402-997-0666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4783
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License Number State | NE
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