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NPI 1780024976

NPI 1780024976 : CINDY MCGRATH COUNSELING : GRAND ISLAND, NE

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General NPI Number Information
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    NPI Number           |    1780024976
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    Entity Type          |    Organization 
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    Legal Business Name  |    CINDY MCGRATH COUNSELING 
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Dates
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    Enumeration Date     |    07/02/2013
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    Last Update Date     |    07/02/2013
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Provider Practice Location Address
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    Address Line         |    1811 W 2ND ST SUITE 300
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    City                 |    GRAND ISLAND
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    State                |    NE
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    Zip                  |    68803-5413
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    Country              |    US
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    Telephone            |    402-984-3004
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1811 W 2ND ST SUITE 300
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    City                 |    GRAND ISLAND
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    State                |    NE
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    Zip                  |    68803-5413
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    Country              |    US
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    Telephone            |    402-984-3004
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATIVE COORDINATOR
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    Name                 |     DEB  VAVRA 
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    Credential           |    
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    Telephone            |    308-627-6126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    3529
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    License Number State |    NE
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Taxonomy #2
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    1321
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    License Number State |    NE
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Taxonomy #3
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    8102
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    License Number State |    NE
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