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General NPI Number Information
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NPI Number | 1770650251
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Entity Type | Individual
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Provider Name | NANCY CARLSON
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 710 BURLINGTON ST
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City | HOLDREGE
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State | NE
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Zip | 68949-2177
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Country | US
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Telephone | 308-995-6691
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Fax | 308-995-6830
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Provider Business Mailing Address
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Address Line | PO BOX 683
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City | HOLDREGE
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State | NE
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Zip | 68949-0683
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Country | US
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Telephone | 308-995-6691
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Fax | 308-995-6830
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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 | 605
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 538
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 55
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License Number State | NE
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