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General NPI Number Information
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NPI Number | 1013639343
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Entity Type | Organization
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Legal Business Name | EXHALE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 9820 BALKAN AVE
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City | LINCOLN
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State | NE
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Zip | 68516-2812
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Country | US
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Telephone | 402-560-0971
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Fax |
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Provider Business Mailing Address
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Address Line | 9820 BALKAN AVE
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City | LINCOLN
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State | NE
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Zip | 68516-2812
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Country | US
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Telephone | 402-560-0971
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | KELLY MICEK
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Credential | LIMHP, CCTP, RPT
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Telephone | 402-560-0971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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