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General NPI Number Information
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NPI Number | 1992031488
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Entity Type | Individual
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Provider Name | STEPHANIE ANNE KENTOPP WESTBERG
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Gender | Female
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Dates
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Enumeration Date | 10/19/2009
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 4545 S 86TH ST
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City | LINCOLN
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State | NE
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Zip | 68526-9227
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Country | US
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Telephone | 402-483-6900
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Fax | 402-783-7045
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Provider Business Mailing Address
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Address Line | 4545 S 86TH ST
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City | LINCOLN
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State | NE
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Zip | 68526-9227
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Country | US
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Telephone | 402-483-6900
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Fax | 402-783-7045
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3953
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1957
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License Number State | NE
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