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General NPI Number Information
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NPI Number | 1477000925
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Entity Type | Organization
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Legal Business Name | KRISTY HRUBY, LMHP, LADC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 4131 VERMONT AVE
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City | GRAND ISLAND
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State | NE
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Zip | 68803-1064
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Country | US
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Telephone | 308-390-5508
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 W 2ND ST STE 450
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City | GRAND ISLAND
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State | NE
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Zip | 68803-5473
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Country | US
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Telephone | 308-390-5508
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Fax | 308-339-0962
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Authorized Official
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Title or Position | THERAPIST
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Name | KRISTY L HRUBY
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Credential | LMHP, LADC
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Telephone | 308-390-5508
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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 | 3858
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License Number State | NE
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