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NPI 1366074478

NPI 1366074478 : KIM S DENTON-HILL LIMHP : FREMONT, NE

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General NPI Number Information
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    NPI Number           |    1366074478
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    Entity Type          |    Individual 
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    Provider Name        |    KIM S DENTON-HILL LIMHP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/06/2020
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    Last Update Date     |    07/25/2023
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Provider Practice Location Address
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    Address Line         |    2560 N HEALTHY WAY 
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    City                 |    FREMONT
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    State                |    NE
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    Zip                  |    68025-2315
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    Country              |    US
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    Telephone            |    402-941-7245
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    Fax                  |    402-941-7248
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Provider Business Mailing Address
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    Address Line         |    2560 N HEALTHY WAY 
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    City                 |    FREMONT
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    State                |    NE
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    Zip                  |    68025-2315
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    Country              |    US
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    Telephone            |    402-941-7245
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    Fax                  |    402-941-7248
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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       |    3396
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    License Number State |    NE
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