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General NPI Number Information
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NPI Number | 1992269914
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Entity Type | Organization
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Legal Business Name | ELISABETH S. SHAW COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 700 R ST STE 305
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City | LINCOLN
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State | NE
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Zip | 68501
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Country | US
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Telephone | 620-899-6806
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Fax |
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Provider Business Mailing Address
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Address Line | 700 R ST STE 305
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City | LINCOLN
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State | NE
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Zip | 68501
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Country | US
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Telephone | 620-899-6806
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Fax |
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Authorized Official
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Title or Position | OWNER-PLMHP
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Name | ELISABETH SCHMIDT SHAW
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Credential | PLMHP
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Telephone | 620-899-6806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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