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General NPI Number Information
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NPI Number | 1356706071
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Entity Type | Organization
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Legal Business Name | APEX PSYCHCOTHERAPY
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 12/22/2015
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Provider Practice Location Address
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Address Line | 4201 N 7TH ST 210
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City | LINCOLN
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State | NE
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Zip | 68521-4811
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Country | US
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Telephone | 402-405-3976
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 N 7TH ST 210
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City | LINCOLN
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State | NE
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Zip | 68521-4811
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Country | US
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Telephone | 402-405-3976
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. KENT A HEIKES
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Credential | MA LMHP CPC
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Telephone | 402-405-3976
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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 | 3494
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License Number State | NE
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