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General NPI Number Information
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NPI Number | 1053969360
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Entity Type | Individual
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Provider Name | MISTY D WARREN LIMHP
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Gender | Female
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 4520 S 221ST ST
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City | ELKHORN
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State | NE
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Zip | 68022-3342
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Country | US
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Telephone | 402-670-8850
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Fax |
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Provider Business Mailing Address
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Address Line | 4520 S 221ST ST
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City | ELKHORN
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State | NE
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Zip | 68022-3342
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Country | US
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Telephone | 402-670-8850
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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 | 100111
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11977
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2607
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2607
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License Number State | NE
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