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General NPI Number Information
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NPI Number | 1386234532
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Entity Type | Organization
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Legal Business Name | PEACEFUL RECOGNITIONS LLC
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 2222 2ND AVE STE 800
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City | KEARNEY
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State | NE
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Zip | 68847-5373
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Country | US
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Telephone | 308-252-5760
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Fax | 308-252-5747
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Provider Business Mailing Address
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Address Line | 2222 2ND AVE STE 800
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City | KEARNEY
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State | NE
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Zip | 68847-5373
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Country | US
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Telephone | 308-252-5760
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Fax | 308-252-5747
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICIA J EALY
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Credential | PHD, APRN, PMHNP-BC
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Telephone | 308-627-2122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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