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General NPI Number Information
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NPI Number | 1326594136
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Entity Type | Individual
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Provider Name | GWENDOLYN MARIA PORTER LIMHP, LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 923 SENIOR CIRCLE
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City | MACY
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State | NE
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Zip | 68039-4018
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Country | US
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Telephone | 402-837-5381
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Fax | 402-837-5303
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Provider Business Mailing Address
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Address Line | PO BOX 250
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City | MACY
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State | NE
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Zip | 68039-0250
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Country | US
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Telephone | 402-837-5381
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Fax | 402-837-5303
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6316
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2520
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4112
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License Number State | NE
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