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NPI 1710862941

NPI 1710862941 : CHARISSE STENGER : PAPILLION, NE

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General NPI Number Information
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    NPI Number           |    1710862941
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    Entity Type          |    Individual 
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    Provider Name        |    CHARISSE STENGER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/07/2025
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    Last Update Date     |    08/07/2025
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Provider Practice Location Address
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    Address Line         |    423 S WASHINGTON ST 
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    City                 |    PAPILLION
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    State                |    NE
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    Zip                  |    68046-2668
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    Country              |    US
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    Telephone            |    402-829-5868
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    423 S WASHINGTON ST 
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    City                 |    PAPILLION
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    State                |    NE
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    Zip                  |    68046-2668
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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