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General NPI Number Information
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NPI Number | 1952164212
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Entity Type | Organization
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Legal Business Name | ZIEMBA THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 1512 N EDDY ST STE B
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City | GRAND ISLAND
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State | NE
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Zip | 68801-3541
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Country | US
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Telephone | 402-882-1152
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Fax | 531-248-4739
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Provider Business Mailing Address
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Address Line | 1512 N EDDY ST STE B
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City | GRAND ISLAND
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State | NE
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Zip | 68801-3541
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Country | US
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Telephone | 402-882-1152
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Fax | 531-248-4739
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Authorized Official
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Title or Position | PROVIDER
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Name | JOSEPH ZIEMBA
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Credential | LIMHP
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Telephone | 402-882-1152
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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 |
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License Number State |
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