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General NPI Number Information
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NPI Number | 1013218619
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Entity Type | Individual
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Provider Name | HEIDI LYNNE SMITH LIMHP,
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Gender | Female
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Dates
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Enumeration Date | 11/12/2010
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 11510 BLONDO ST STE 103
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City | OMAHA
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State | NE
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Zip | 68164-3846
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Country | US
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Telephone | 402-403-0190
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Fax | 402-932-4121
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Provider Business Mailing Address
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Address Line | 1608 5TH AVE
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City | NEBRASKA CITY
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State | NE
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Zip | 68410-1535
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Country | US
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Telephone | 402-713-9224
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1100
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License Number State | NE
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