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General NPI Number Information
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NPI Number | 1942534870
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Entity Type | Organization
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Legal Business Name | SCHROER BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 09/24/2009
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Last Update Date | 09/24/2009
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Provider Practice Location Address
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Address Line | 1717 ROAD 2500
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City | LAWRENCE
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State | NE
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Zip | 68957-6022
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Country | US
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Telephone | 402-460-9936
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Fax | 402-756-7566
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Provider Business Mailing Address
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Address Line | 1717 ROAD 2500
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City | LAWRENCE
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State | NE
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Zip | 68957-6022
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Country | US
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Telephone | 402-460-9936
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Fax | 402-756-7566
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KYLENE MARIE SCHROER
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Credential | APRN
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Telephone | 402-460-9936
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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 | 110853
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License Number State | NE
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