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General NPI Number Information
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NPI Number | 1104710375
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Entity Type | Organization
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Legal Business Name | ANOINTED PATH COUNSELING LLC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 770 N COTNER BLVD STE 328
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City | LINCOLN
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State | NE
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Zip | 68505-2344
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Country | US
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Telephone | 402-417-2524
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Fax |
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Provider Business Mailing Address
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Address Line | 770 N COTNER BLVD STE 328
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City | LINCOLN
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State | NE
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Zip | 68505-2344
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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 | CREDENTIALING
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Name | KADRA B TALETOVIC
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Credential |
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Telephone | 402-417-2524
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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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