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General NPI Number Information
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NPI Number | 1659631158
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Entity Type | Individual
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Provider Name | JEANIE R SHIMMIN PPC
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Gender | Female
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 521 E 5TH ST STE 4
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City | NORTH PLATTE
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State | NE
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Zip | 69101-6924
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Country | US
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Telephone | 307-532-4197
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Fax | 308-221-5306
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Provider Business Mailing Address
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Address Line | 521 E 5TH ST STE 4
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City | NORTH PLATTE
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State | NE
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Zip | 69101-6924
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Country | US
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Telephone | 308-221-5288
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Fax | 308-221-5306
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1544
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License Number State | NE
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