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General NPI Number Information
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NPI Number | 1588535413
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Entity Type | Individual
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Provider Name | STACI L NOEHREN
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Gender | Female
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 204 W O ST
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City | WEEPING WATER
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State | NE
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Zip | 68463-4255
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Country | US
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Telephone | 402-267-2445
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Fax |
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Provider Business Mailing Address
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Address Line | 9828 EDWARD ST
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City | LA VISTA
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State | NE
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Zip | 68128-2517
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Country | US
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Telephone | 402-598-1488
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | NE
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