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General NPI Number Information
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NPI Number | 1992846513
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Entity Type | Organization
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Legal Business Name | LOCK PC
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 07/16/2012
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Provider Practice Location Address
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Address Line | 5600 S 59TH ST SUITE 104
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City | LINCOLN
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State | NE
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Zip | 68516-2386
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Country | US
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Telephone | 402-484-0595
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Fax | 402-484-6306
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Provider Business Mailing Address
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Address Line | 5600 S 59TH ST SUITE 104
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City | LINCOLN
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State | NE
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Zip | 68516-2386
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Country | US
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Telephone | 402-484-0595
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Fax | 402-484-6306
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER ORR
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Credential | LMHP
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Telephone | 402-484-0595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 218677174
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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 | 218677174
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 218677174
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 218677174
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 218677174
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License Number State | NE
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 218677174
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License Number State | NE
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