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NPI 1780716456

NPI 1780716456 : RUTH BROMERT SATHER LCSW : BLAIR, NE

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General NPI Number Information
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    NPI Number           |    1780716456
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    Entity Type          |    Individual 
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    Provider Name        |    RUTH BROMERT SATHER LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/09/2007
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    Last Update Date     |    03/26/2024
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Provider Practice Location Address
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    Address Line         |    4626 TRAIL RIDGE RD 
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    City                 |    BLAIR
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    State                |    NE
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    Zip                  |    68008-6217
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    Country              |    US
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    Telephone            |    402-660-3374
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4626 TRAIL RIDGE RD 
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    City                 |    BLAIR
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    State                |    NE
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    Zip                  |    68008-6217
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    Country              |    US
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    Telephone            |    402-660-3374
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    1034
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    License Number State |    NE
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    1034
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    License Number State |    NE
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