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General NPI Number Information
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NPI Number | 1922376482
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Entity Type | Organization
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Legal Business Name | MID-PLAINS CENTER FOR BEHAVIORAL HEALTH CARE SERVICES, INC
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 210 GATEWAY MALL SUITE 326
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City | LINCOLN
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State | NE
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Zip | 68505-2489
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Country | US
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Telephone | 402-471-3773
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Fax |
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Provider Business Mailing Address
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Address Line | 210 GATEWAY MALL SUITE 326
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City | LINCOLN
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State | NE
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Zip | 68505-2489
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF HUMAN RESOURCES
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Name | KARA RONNAU
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Credential |
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Telephone | 308-395-1067
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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 | 9552
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License Number State | NE
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