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NPI 1366840522

NPI 1366840522 : ABBIE LOCKEN : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1366840522
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    Entity Type          |    Individual 
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    Provider Name        |    ABBIE LOCKEN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/19/2014
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    Last Update Date     |    01/10/2017
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Provider Practice Location Address
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    Address Line         |    4545 S 86TH ST 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68526-9227
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    Country              |    US
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    Telephone            |    402-486-6990
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4545 S 86TH ST 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68526-9227
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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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       |    10435
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    License Number State |    NE
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