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General NPI Number Information
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NPI Number | 1003282625
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Entity Type | Individual
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Provider Name | TROY W HEATH LIMHP
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Gender | Male
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Dates
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Enumeration Date | 08/18/2015
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 1640 L ST
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City | LINCOLN
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State | NE
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Zip | 68508-2581
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Country | US
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Telephone | 402-489-9792
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11
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City | SPRAGUE
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State | NE
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Zip | 68438-0011
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Country | US
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Telephone | 402-937-4670
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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 | 5027
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2233
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License Number State | NE
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