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General NPI Number Information
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NPI Number | 1003967704
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Entity Type | Organization
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Legal Business Name | LIMINA INSTITUTE
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 903 E JEFFERSON ST
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City | BLOOMINGTON
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State | IL
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Zip | 61701
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Country | US
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Telephone | 309-828-1414
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Fax | 309-827-0885
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Provider Business Mailing Address
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Address Line | 903 E JEFFERSON ST
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City | BLOOMINGTON
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State | IL
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Zip | 61701
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Country | US
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Telephone | 309-828-1414
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Fax | 309-827-0885
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Authorized Official
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Title or Position | PRESIDENT LIMINA INSTITUTE
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Name | MR. SCOTT MASON OLBERT
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Credential | MDIV
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Telephone | 309-828-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | IL
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