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General NPI Number Information
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NPI Number | 1578708046
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Entity Type | Individual
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Provider Name | DAVID ANDREW MITCHELL PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/11/2008
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 1306 N 13TH ST STE 102
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City | NORFOLK
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State | NE
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Zip | 68701-2591
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Country | US
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Telephone | 605-366-1334
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Fax |
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Provider Business Mailing Address
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Address Line | 1306 N 13TH ST STE 102
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City | NORFOLK
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State | NE
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Zip | 68701-2591
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Country | US
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Telephone | 605-366-1334
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 801
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License Number State | NE
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