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NPI 1942397674

NPI 1942397674 : JANICE L CHINN MSE LMHP CPC : WAYNE, NE

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General NPI Number Information
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    NPI Number           |    1942397674
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    Entity Type          |    Individual 
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    Provider Name        |    JANICE L CHINN MSE LMHP CPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/06/2006
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    Last Update Date     |    06/08/2008
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Provider Practice Location Address
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    Address Line         |    220 W 7TH ST SUITE 1
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    City                 |    WAYNE
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    State                |    NE
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    Zip                  |    68787-1302
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    Country              |    US
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    Telephone            |    402-833-5246
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    Fax                  |    402-833-5283
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Provider Business Mailing Address
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    Address Line         |    220 W 7TH ST SUITE 1
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    City                 |    WAYNE
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    State                |    NE
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    Zip                  |    68787-1302
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    Country              |    US
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    Telephone            |    402-833-5246
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    Fax                  |    402-833-5283
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    2334
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    License Number State |    NE
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