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NPI 1669825444

NPI 1669825444 : PATRICIA LOTT PLMHP, PLADC : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1669825444
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICIA LOTT PLMHP, PLADC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/18/2016
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    Last Update Date     |    07/18/2016
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Provider Practice Location Address
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    Address Line         |    245 S 84TH ST STE. 212
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68510-2680
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    Country              |    US
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    Telephone            |    402-261-9273
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1763 
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    City                 |    GRAND ISLAND
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    State                |    NE
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    Zip                  |    68802-1763
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    Country              |    US
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    Telephone            |    
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    P-1396
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    License Number State |    NE
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    10601
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    License Number State |    NE
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