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General NPI Number Information
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NPI Number | 1760781421
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Entity Type | Organization
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Legal Business Name | LYNDA PERRY FAMILY CONSULTING, LLC
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 102 MCNEEL LN
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City | NORTH PLATTE
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State | NE
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Zip | 69101-6000
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Country | US
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Telephone | 308-532-0777
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Fax | 308-532-0389
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Provider Business Mailing Address
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Address Line | 410 SEAGULL DR
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City | NORTH PLATTE
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State | NE
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Zip | 69101-8910
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Country | US
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Telephone | 308-530-3904
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Fax |
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Authorized Official
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Title or Position | LIMHP
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Name | MRS. LYNDA LEE PERRY
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Credential | M. S.
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Telephone | 308-530-3904
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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 | 798
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License Number State | NE
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