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General NPI Number Information
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NPI Number | 1780052050
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Entity Type | Individual
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Provider Name | SHAWN CURTIS
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Gender | Male
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 10/29/2019
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Provider Practice Location Address
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Address Line | 5401 SOUTH ST
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City | LINCOLN
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State | NE
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Zip | 68506-2150
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Country | US
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Telephone | 402-413-3520
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Fax |
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Provider Business Mailing Address
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Address Line | 12731 SE 25TH PL
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City | BELLEVUE
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State | WA
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Zip | 98005-4201
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 636
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License Number State | NE
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