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General NPI Number Information
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NPI Number | 1437404175
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Entity Type | Organization
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Legal Business Name | STEPS4SUCCESS
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 2125 WINTHROP RD STE B
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City | LINCOLN
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State | NE
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Zip | 68502-4156
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Country | US
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Telephone | 402-853-4356
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Fax |
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Provider Business Mailing Address
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Address Line | 2125 WINTHROP RD STE B
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City | LINCOLN
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State | NE
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Zip | 68502-4156
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Country | US
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Telephone | 402-853-4356
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. JANEE E GOHDE
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Credential | MA, LMHP
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Telephone | 402-853-4356
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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 | 2952
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License Number State | NE
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