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General NPI Number Information
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NPI Number | 1548533813
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST COUNSELING
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Dates
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Enumeration Date | 02/17/2012
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 202 E 5TH ST
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City | YORK
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State | NE
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Zip | 68467-3640
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Country | US
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Telephone | 402-362-5650
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Fax | 866-669-2264
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Provider Business Mailing Address
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Address Line | 202 E 5TH ST
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City | YORK
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State | NE
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Zip | 68467-3640
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Country | US
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Telephone | 402-362-5650
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Fax | 866-669-2264
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | RENEE LYNN DUFFEK
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Credential | M.S., LIMHP, LADAC
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Telephone | 402-362-5650
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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 | 2182
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License Number State | NE
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