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General NPI Number Information
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NPI Number | 1043170418
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Entity Type | Organization
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Legal Business Name | CORE 4 BALANCE, LLC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 8055 O ST STE 119A
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City | LINCOLN
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State | NE
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Zip | 68510-2565
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Country | US
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Telephone | 402-413-5448
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Fax |
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Provider Business Mailing Address
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Address Line | 2425 WINTHROP RD
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City | LINCOLN
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State | NE
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Zip | 68502-4162
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Country | US
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Telephone | 402-770-4687
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | AMY GOLTER
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Credential | APRN-NP, PMHNP-BC
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Telephone | 402-770-4687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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