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General NPI Number Information
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NPI Number | 1407234594
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Entity Type | Organization
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Legal Business Name | LINCOLN PSYCHOTHERAPY SERVICES
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 2900 S 70TH ST SUITE 160
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City | LINCOLN
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State | NE
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Zip | 68506-3733
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Country | US
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Telephone | 402-432-6144
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Fax | 402-477-8284
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Provider Business Mailing Address
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Address Line | 2900 S 70TH ST SUITE 160
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City | LINCOLN
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State | NE
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Zip | 68506-3733
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Country | US
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Telephone | 402-432-6144
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Fax | 402-477-8284
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Authorized Official
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Title or Position | ACCOUNTS MANAGER
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Name | BEVERLY LOSEKE
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Credential |
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Telephone | 402-432-6144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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