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NPI Code Detail

MEDICARE: NYAREAK GATWECH PECH PLADC

MEDICARE: NYAREAK GATWECH PECH PLADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorP-2266NE

General Provider Information

NPI Number : 1346059391
Entity Type Code : Individual
Provider Name (Legal Business Name) : NYAREAK GATWECH PECH PLADC
Provider Business Mailing Address
First Line : 2205 OSBORNE DR E
Second Line :
City : HASTINGS
State : NE
Zip : 68901-2633
Country : US
Telephone Number : 402-469-6462
Fax Number :
Provider Business Practice Location Address
First Line : 2205 OSBORNE DR E
Second Line :
City : HASTINGS
State : NE
Zip : 68901-2633
Country : US
Telephone Number : 402-469-6462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2025
Last Update Date : 01/04/2025

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