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NPI 1639041726

NPI 1639041726 : MARK HUDSON : ALBION, NE

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General NPI Number Information
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    NPI Number           |    1639041726
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    Entity Type          |    Individual 
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    Provider Name        |    MARK HUDSON
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/19/2025
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    Last Update Date     |    09/19/2025
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Provider Practice Location Address
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    Address Line         |    605 S 6TH ST 
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    City                 |    ALBION
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    State                |    NE
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    Zip                  |    68620-1543
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    Country              |    US
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    Telephone            |    402-395-2134
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1065 S 3RD ST 
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    City                 |    ALBION
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    State                |    NE
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    Zip                  |    68620-1617
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    Country              |    US
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    Telephone            |    402-395-2134
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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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