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General NPI Number Information
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NPI Number | 1811144710
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Entity Type | Individual
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Provider Name | RENEE R KINDSCHUH LADC
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Gender | Female
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 215 N MAIN ST
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City | WEST POINT
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State | NE
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Zip | 68788-1417
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Country | US
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Telephone | 402-372-4991
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Fax | 402-372-4991
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Provider Business Mailing Address
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Address Line | 617 MICHENER ST
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City | WAKEFIELD
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State | NE
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Zip | 68784-5047
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Country | US
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Telephone | 402-287-2708
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Fax | 402-287-2708
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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 | 995
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License Number State | NE
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