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General NPI Number Information
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NPI Number | 1174241665
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Entity Type | Individual
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Provider Name | EMILY BLOOMQUIST B.S
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Gender | Female
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Dates
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Enumeration Date | 08/19/2022
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 201 E 33RD ST
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City | SOUTH SIOUX CITY
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State | NE
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Zip | 68776-3524
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Country | US
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Telephone | 712-833-5782
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E 33RD ST
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City | SOUTH SIOUX CITY
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State | NE
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Zip | 68776-3524
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Country | US
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Telephone | 402-840-1089
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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