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General NPI Number Information
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NPI Number | 1750906046
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Entity Type | Individual
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Provider Name | BRITTANY PLESKAC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 13121 COUNTY ROAD 16
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City | BLAIR
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State | NE
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Zip | 68008-5674
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Country | US
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Telephone | 402-885-9030
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 219
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City | BLAIR
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State | NE
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Zip | 68008-0219
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Country | US
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Telephone | 402-237-8008
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 12214
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License Number State | NE
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