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General NPI Number Information
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NPI Number | 1508110487
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Entity Type | Individual
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Provider Name | JENNIFER L HOLMES LMHP, MSW
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Gender | Female
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 3020 18TH ST STE 17
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City | COLUMBUS
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State | NE
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Zip | 68601-4254
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Country | US
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Telephone | 402-563-3833
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Fax | 402-562-8714
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Provider Business Mailing Address
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Address Line | 3300 N 60TH ST
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City | OMAHA
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State | NE
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Zip | 68104-3402
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Country | US
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Telephone | 402-554-0520
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Fax | 402-551-8797
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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 | 4127
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1465
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1084
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License Number State | NE
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