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General NPI Number Information
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NPI Number | 1861698110
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Entity Type | Organization
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Legal Business Name | FAMILY SKILL BUILDING SERVICES
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1300 E 4TH ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-4393
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Country | US
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Telephone | 308-696-0033
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Fax | 308-696-0034
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Provider Business Mailing Address
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Address Line | 1300 E 4TH ST P.O. BOX 655
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City | NORTH PLATTE
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State | NE
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Zip | 69101-4393
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Country | US
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Telephone | 308-696-0033
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Fax | 308-696-0034
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Authorized Official
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Title or Position | OWNER
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Name | KENDRA LEONHARDT
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Credential | LMHP
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Telephone | 308-696-0033
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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 | 419
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License Number State | NE
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