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General NPI Number Information
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NPI Number | 1679517684
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Entity Type | Organization
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Legal Business Name | TELECARE MENTAL HEALTH SERVICES OF NEBRASKA, INC
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 2231 LINCOLN RD
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City | BELLEVUE
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State | NE
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Zip | 68005-3907
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Country | US
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Telephone | 402-291-1203
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Fax | 402-291-3915
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Provider Business Mailing Address
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Address Line | 1080 MARINA VILLAGE PKWY SUITE 100
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City | ALAMEDA
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State | CA
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Zip | 94501-1078
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Country | US
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Telephone | 510-337-7950
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Fax | 510-337-7969
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Authorized Official
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Title or Position | PROVIDER RELATIONS SUPERVISOR
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Name | LORENA LOPEZ
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Credential |
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Telephone | 510-337-7950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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