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General NPI Number Information
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NPI Number | 1366773095
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Entity Type | Organization
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Legal Business Name | FORENSIC BEHAVIORAL HEALTH, INC.
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 01/20/2010
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Provider Practice Location Address
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Address Line | 1410 E GOLD COAST RD SUITE 800
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City | PAPILLION
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State | NE
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Zip | 68046-5799
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Country | US
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Telephone | 402-557-6027
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Fax | 402-557-6028
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Provider Business Mailing Address
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Address Line | 1410 E GOLD COAST RD SUITE 800
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City | PAPILLION
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State | NE
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Zip | 68046-5799
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Country | US
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Telephone | 402-557-5027
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Fax | 402-557-6028
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Authorized Official
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Title or Position | OWNER
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Name | DR. KIRK ALLEN BRUNSWIG NEWRING
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Credential | PH.D.
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Telephone | 402-557-6027
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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 | 1045
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 506
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 149
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 567
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License Number State | NE
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