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General NPI Number Information
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NPI Number | 1578691333
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Entity Type | Organization
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Legal Business Name | SUMMIT CARE AND WELLNESS TREATMENT AND COUNSELING, PC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 10/01/2009
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Provider Practice Location Address
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Address Line | 1700 S 24TH ST
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City | LINCOLN
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State | NE
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Zip | 68502-3003
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Country | US
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Telephone | 402-435-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 S 24TH ST
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City | LINCOLN
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State | NE
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Zip | 68502-3003
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Country | US
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Telephone | 402-435-2273
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR/ADMINISTRATOR
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Name | MS. NANETTE MARIE GINGERY
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Credential | MA, LMHP, LADC, LPC
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Telephone | 402-435-2273
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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 | 208494938
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 208494938
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License Number State | NE
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