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General NPI Number Information
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NPI Number | 1194643395
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Entity Type | Individual
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Provider Name | LISA BELLA MCPEAK
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Gender | Female
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 801 HARMONY ST STE 302
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-3106
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Country | US
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Telephone | 712-308-2609
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Fax |
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Provider Business Mailing Address
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Address Line | 303 HENSON ST
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City | SAN DIEGO
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State | CA
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Zip | 92114-5611
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Country | US
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Telephone | 858-294-7513
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95331482
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License Number State | CA
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