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General NPI Number Information
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NPI Number | 1740890664
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC CHOICES COUNSELING SERVICES
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 218 E B ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-5457
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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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Provider Business Mailing Address
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Address Line | 218 E B ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-5457
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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 | MANAGING MEMBER
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Name | MRS. JEANIE SHIMMIN
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Credential | LIMHP
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Telephone | 308-221-5288
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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 |
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License Number State |
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