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General NPI Number Information
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NPI Number | 1639252646
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH SPECIALISTS, PC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 102 MCNEEL LN
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City | NORTH PLATTE
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State | NE
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Zip | 69101-6092
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Country | US
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Telephone | 308-532-0777
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Fax | 308-532-0389
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Provider Business Mailing Address
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Address Line | 102 MCNEEL LN
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City | NORTH PLATTE
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State | NE
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Zip | 69101-6092
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Country | US
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Telephone | 308-532-0777
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Fax | 308-532-0389
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | JOHN STRIEBEL
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Credential | PSY.D.
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Telephone | 308-532-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 311
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License Number State | NE
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