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NPI 1811413230

NPI 1811413230 : SCHYLER ELIZABETH LINDEKUGEL-SULLIVAN PLMHP, PCMSW : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1811413230
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    Entity Type          |    Individual 
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    Provider Name        |    SCHYLER ELIZABETH LINDEKUGEL-SULLIVAN PLMHP, PCMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/17/2017
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    Last Update Date     |    08/17/2017
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Provider Practice Location Address
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    Address Line         |    5905 O ST 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68510-2235
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    Country              |    US
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    Telephone            |    402-436-1000
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    Fax                  |    402-436-1000
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Provider Business Mailing Address
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    Address Line         |    1411 N 27TH ST 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68503-1811
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    Country              |    US
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    Telephone            |    402-619-3554
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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        |    1041S0200X
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    Taxonomy Name        |    School Social Worker
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    License Number       |    6956
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    License Number State |    NE
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