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General NPI Number Information
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NPI Number | 1326185505
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Entity Type | Individual
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Provider Name | CELESTE L HEAIVILIN
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 3180 W HIGHWAY 34 AHEC OFFICE
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City | GRAND ISLAND
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State | NE
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Zip | 68801-7279
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Country | US
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Telephone | 308-385-6428
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Fax | 308-385-6414
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Provider Business Mailing Address
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Address Line | 312 N ELM ST STE 108
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City | GRAND ISLAND
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State | NE
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Zip | 68801-4509
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Country | US
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Telephone | 308-227-9271
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Fax | 308-381-7970
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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 | 7068
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License Number State | NE
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