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General NPI Number Information
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NPI Number | 1013738681
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Entity Type | Individual
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Provider Name | JOHN FREDERICK HARGREAVES JR. LIMHP, LPC
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Gender | Male
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 5715 S 34TH ST STE 500
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City | LINCOLN
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State | NE
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Zip | 68516-6654
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Country | US
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Telephone | 402-205-5677
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 BOSTON CIR
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City | LINCOLN
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State | NE
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Zip | 68521-1558
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Country | US
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Telephone | 402-440-5233
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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 | 3661
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2925
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License Number State | NE
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