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General NPI Number Information
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NPI Number | 1619176542
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Entity Type | Individual
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Provider Name | GAIL R SUTTER LMHP
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Gender | Female
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 1201 S 9TH ST
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City | BEATRICE
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State | NE
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Zip | 68310-4918
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Country | US
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Telephone | 402-239-9899
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Fax |
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Provider Business Mailing Address
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Address Line | 101 BELVEDERE ST
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City | BEATRICE
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State | NE
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Zip | 68310-4802
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Country | US
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Telephone | 402-223-3629
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1231
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License Number State | NE
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