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General NPI Number Information
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NPI Number | 1558570861
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Entity Type | Individual
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Provider Name | KRISTINA J CELLAR PLMHP, MSED
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 02/21/2009
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Provider Practice Location Address
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Address Line | 1325 H ST
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City | GENEVA
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State | NE
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Zip | 68361-2124
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Country | US
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Telephone | 316-303-7406
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Fax |
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Provider Business Mailing Address
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Address Line | 7920 W BIRDIE LANE CIR
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City | WICHITA
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State | KS
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Zip | 67205-1308
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Country | US
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Telephone | 316-303-7406
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 390200000X-STUDENT
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License Number State | NE
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