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General NPI Number Information
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NPI Number | 1467536474
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Entity Type | Individual
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Provider Name | STEVE LARRY NITZSCHE LMHP
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2300 S 16TH ST
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City | LINCOLN
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State | NE
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Zip | 68502-3704
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Country | US
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Telephone | 402-481-4813
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Fax |
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Provider Business Mailing Address
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Address Line | 20300 S 96TH ST
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City | HICKMAN
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State | NE
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Zip | 68372-9865
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Country | US
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Telephone | 402-792-3478
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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 | 2838
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License Number State | NE
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