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General NPI Number Information
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NPI Number | 1134083132
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Entity Type | Organization
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Legal Business Name | KOCOL THERAPY LLC
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Dates
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Enumeration Date | 12/13/2025
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 11707 M CIR
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City | OMAHA
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State | NE
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Zip | 68137-2218
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Country | US
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Telephone | 402-536-9280
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Fax |
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Provider Business Mailing Address
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Address Line | 11512 S 115TH ST
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City | PAPILLION
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State | NE
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Zip | 68046-4520
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Country | US
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Telephone | 402-536-9280
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | RACHEL KOCOL
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Credential | LMHP
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Telephone | 402-536-9280
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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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