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General NPI Number Information
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NPI Number | 1982081998
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC CHOICES
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 04/28/2015
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Provider Practice Location Address
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Address Line | 218 E B ST
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City | NORTH PLATTE
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State | NE
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Zip | 69101-5457
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Country | US
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Telephone | 308-530-9588
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 N CATTAIL RD
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City | NORTH PLATTE
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State | NE
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Zip | 69101-8075
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Country | US
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Telephone | 308-530-3588
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEANIE R SHIMMIN
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Credential | MAE LMHP
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Telephone | 308-530-9588
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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 | 4183
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License Number State | NE
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