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General NPI Number Information
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NPI Number | 1790018380
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC ASSOCIATES OF LINCOLN P.C.
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Dates
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Enumeration Date | 09/14/2009
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Last Update Date | 09/21/2009
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Provider Practice Location Address
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Address Line | 1919 S 40TH ST SUITE # 320
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City | LINCOLN
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State | NE
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Zip | 68506-5243
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Country | US
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Telephone | 402-488-5765
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Fax | 402-488-6709
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Provider Business Mailing Address
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Address Line | 1919 S 40TH ST SUITE # 320
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City | LINCOLN
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State | NE
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Zip | 68506-5243
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Country | US
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Telephone | 402-488-5765
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Fax | 402-488-6709
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELI S CHESEN
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Credential | M.D.
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Telephone | 402-488-5765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 12022
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License Number State | NE
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