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General NPI Number Information
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NPI Number | 1366504367
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Entity Type | Individual
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Provider Name | DEBRA JEAN LOVELESS ED.S, LMHP
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 09/23/2009
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Provider Practice Location Address
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Address Line | 1023 10TH AVENUE
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City | SIDNEY
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State | NE
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Zip | 69162
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Country | US
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Telephone | 308-254-0737
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Fax | 308-254-6375
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Provider Business Mailing Address
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Address Line | POB 214 1023 10TH AVENUE
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City | SIDNEY
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State | NE
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Zip | 69162
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Country | US
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Telephone | 308-254-0737
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Fax | 308-254-6375
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3260
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License Number State | NE
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