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General NPI Number Information
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NPI Number | 1437449030
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Entity Type | Organization
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Legal Business Name | JOHN B. STRIEBEL LLC
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 04/15/2011
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Provider Practice Location Address
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Address Line | 102 MCNEEL LN
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City | NORTH PLATTE
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State | NE
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Zip | 69101-6000
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Country | US
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Telephone | 308-520-4577
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 CEDARBERRY RD
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City | NORTH PLATTE
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State | NE
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Zip | 69101-5854
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Country | US
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Telephone | 308-520-4577
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JOHN B STRIEBEL
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Credential | PSYCHOLOGIST
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Telephone | 308-520-4577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 311
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License Number State | NE
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