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General NPI Number Information
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NPI Number | 1003070376
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Entity Type | Individual
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Provider Name | TRACY J WEILAND LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/15/2008
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 1201 N ERIE ST
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City | LEXINGTON
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State | NE
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Zip | 68850-1560
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Country | US
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Telephone | 308-324-5651
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 N ERIE ST
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City | LEXINGTON
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State | NE
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Zip | 68850-1560
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Country | US
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Telephone | 308-324-5651
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Fax |
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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 | 8598
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1498
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4232
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License Number State | NE
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