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NPI 1396757324

NPI 1396757324 : JOHN DAVID ARKLE MS, LIMHP LIMFT : KEARNEY, NE

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General NPI Number Information
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    NPI Number           |    1396757324
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN DAVID ARKLE MS, LIMHP LIMFT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/11/2006
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    Last Update Date     |    09/14/2023
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Provider Practice Location Address
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    Address Line         |    124 W 46TH ST STE 2 
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    City                 |    KEARNEY
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    State                |    NE
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    Zip                  |    68847-8348
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    Country              |    US
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    Telephone            |    308-233-1995
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    Fax                  |    308-236-9013
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Provider Business Mailing Address
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    Address Line         |    3110 12TH AVE 
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    City                 |    KEARNEY
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    State                |    NE
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    Zip                  |    68845-3337
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    Country              |    US
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    Telephone            |    308-233-1995
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    Fax                  |    308-236-9013
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    23
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    License Number State |    NE
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