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General NPI Number Information
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NPI Number | 1285877597
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Entity Type | Individual
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Provider Name | NANCY ELIZABETH CUNNINGHAM LMHP
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Gender | Female
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Dates
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Enumeration Date | 04/16/2009
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Last Update Date | 05/29/2013
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Provider Practice Location Address
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Address Line | 230 E 22ND ST SUITE 3
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City | FREMONT
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State | NE
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Zip | 68025-2393
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Country | US
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Telephone | 402-720-3498
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Fax | 402-620-4019
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Provider Business Mailing Address
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Address Line | 415 E 23RD ST SUITE 215
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City | FREMONT
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State | NE
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Zip | 68025-2393
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Country | US
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Telephone | 402-720-3498
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3955
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License Number State | NE
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