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General NPI Number Information
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NPI Number | 1851664288
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Entity Type | Organization
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Legal Business Name | NEW DIMENSIONS COUNSELING
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Dates
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Enumeration Date | 02/15/2012
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 223 E 14TH ST STE 220
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City | HASTINGS
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State | NE
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Zip | 68901-3255
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Country | US
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Telephone | 402-519-0159
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Fax | 402-463-9169
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Provider Business Mailing Address
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Address Line | 223 E 14TH ST STE 220
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City | HASTINGS
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State | NE
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Zip | 68901-3255
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Country | US
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Telephone | 402-519-0159
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Fax | 402-463-9169
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Authorized Official
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Title or Position | PROPRIETOR, THERAPIST, SUPERVISOR
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Name | DR. BEVERLY JEAN PATITZ
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Credential | LIMHP, LADC, CPC
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Telephone | 402-519-0159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 945
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License Number State | NE
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