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General NPI Number Information
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NPI Number | 1831643964
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Entity Type | Organization
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Legal Business Name | FOCUS C3, PC
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Dates
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Enumeration Date | 08/05/2016
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 10748 VIRGINIA PLZ SUITE 107
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City | LA VISTA
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State | NE
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Zip | 68128-3204
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Country | US
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Telephone | 402-933-4411
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Fax | 888-507-5931
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Provider Business Mailing Address
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Address Line | 10748 VIRGINIA PLZ SUITE107
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City | LAVISTA
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State | NE
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Zip | 68128-3204
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Country | US
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Telephone | 402-933-4411
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Fax | 888-507-5931
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMANDA J HEBNER
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Credential | PLMHP
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Telephone | 402-933-4411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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