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General NPI Number Information
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NPI Number | 1831465202
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Entity Type | Organization
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Legal Business Name | NOLAN COUNSELING, PC
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 3221 RAMADA RD
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City | GRAND ISLAND
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State | NE
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Zip | 68801-8800
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Country | US
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Telephone | 308-440-5626
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Fax |
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Provider Business Mailing Address
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Address Line | 3221 RAMADA RD
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City | GRAND ISLAND
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State | NE
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Zip | 68801-8800
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Country | US
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Telephone | 308-440-5626
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | KORENA NOLAN
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Credential | L.C.S.W., L.M.H.P.
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Telephone | 308-440-5626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1438
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | P-938
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 4044
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License Number State | NE
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