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General NPI Number Information
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NPI Number | 1952553828
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Entity Type | Organization
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Legal Business Name | CROSSROADS RESOURCES, LLC
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 104 W 3RD ST
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City | CHADRON
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State | NE
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Zip | 69337-2314
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Country | US
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Telephone | 308-430-4610
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Fax | 308-747-2147
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Provider Business Mailing Address
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Address Line | 104 W. 3RD ST P. O. BOX 1299
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City | CHADRON
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State | NE
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Zip | 69337-1299
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Country | US
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Telephone | 308-430-4610
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Fax | 308-747-2147
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Authorized Official
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Title or Position | OWNER
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Name | JOAN M YEKEL
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Credential | LIMHP
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Telephone | 308-430-4610
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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 |
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License Number State |
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