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General NPI Number Information
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NPI Number | 1780751958
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Entity Type | Individual
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Provider Name | NANCY JANE PROBST LADC
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 01/23/2014
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Provider Practice Location Address
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Address Line | 1123 N 9TH ST
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City | BEATRICE
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State | NE
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Zip | 68310-2041
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Country | US
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Telephone | 402-228-3386
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Fax |
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Provider Business Mailing Address
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Address Line | 419 N 17TH ST
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City | BEATRICE
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State | NE
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Zip | 68310-3119
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Country | US
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Telephone | 402-223-5813
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 313
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License Number State | NE
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