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General NPI Number Information
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NPI Number | 1578817011
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Entity Type | Individual
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Provider Name | CHRISTINA JO THOMAS PLMHP, PLADC
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Gender | Female
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 210 GATEWAY MALL 342
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City | LINCOLN
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State | NE
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Zip | 68505-2489
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Country | US
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Telephone | 402-434-2745
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Fax |
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Provider Business Mailing Address
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Address Line | 210 GATEWAY MALL 342
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City | LINCOLN
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State | NE
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Zip | 68505-2489
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Country | US
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Telephone | 402-434-2745
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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 | 9469
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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 | P-1052
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 261QM0801X
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License Number State | NE
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