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General NPI Number Information
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NPI Number | 1033022843
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Entity Type | Organization
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Legal Business Name | BLUESTEM HEALTH
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 8101 O ST STE S111
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City | LINCOLN
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State | NE
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Zip | 68510-2647
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Country | US
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Telephone | 402-476-1455
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Fax | 402-476-1670
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Provider Business Mailing Address
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Address Line | 8101 O ST STE S111
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City | LINCOLN
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State | NE
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Zip | 68510-2647
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Country | US
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Telephone | 402-476-1455
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Fax | 402-476-1670
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | AMY EMERY
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Credential |
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Telephone | 402-817-3290
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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