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General NPI Number Information
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NPI Number | 1083433379
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Entity Type | Organization
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Legal Business Name | NOVA HEALTH LLC
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Dates
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Enumeration Date | 10/04/2024
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 1600 S 70TH ST STE 200
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City | LINCOLN
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State | NE
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Zip | 68506-1568
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Country | US
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Telephone | 531-233-5550
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Fax | 531-233-5550
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Provider Business Mailing Address
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Address Line | 7329 SHERMAN ST
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City | LINCOLN
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State | NE
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Zip | 68506-4622
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SAM HASAN
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Credential |
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Telephone | 402-309-3005
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 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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