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General NPI Number Information
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NPI Number | 1386297521
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Entity Type | Individual
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Provider Name | HELEN JOY DOUGHERTY CMSW, LMHP
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Gender | Female
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Dates
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Enumeration Date | 07/17/2019
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Last Update Date | 07/17/2019
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Provider Practice Location Address
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Address Line | 1240 N 10TH ST
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City | LINCOLN
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State | NE
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Zip | 68508-1125
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Country | US
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Telephone | 402-601-3386
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Fax |
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Provider Business Mailing Address
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Address Line | 2340 NW 9TH ST
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City | LINCOLN
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State | NE
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Zip | 68521-3521
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Country | US
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Telephone | 402-601-3386
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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 | 4681
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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 | 1614
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License Number State | NE
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