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General NPI Number Information
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NPI Number | 1679948335
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Entity Type | Organization
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Legal Business Name | ALCOHOL AND DRUG SOLUTIONS
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 04/15/2016
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Provider Practice Location Address
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Address Line | 421 S 9TH ST SUITE 205
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City | LINCOLN
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State | NE
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Zip | 68508-2261
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Country | US
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Telephone | 402-601-4289
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Fax | 402-475-7541
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Provider Business Mailing Address
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Address Line | 421 S 9TH ST SUITE 205
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City | LINCOLN
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State | NE
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Zip | 68508-2261
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Country | US
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Telephone | 402-601-4289
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Fax | 402-475-7541
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Authorized Official
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Title or Position | COUNSELOR
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Name | MS. JODY R GILFILLAN
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Credential | MAA,LADC
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Telephone | 402-601-4289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | SATC024
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License Number State | NE
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