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General NPI Number Information
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NPI Number | 1518358753
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Entity Type | Individual
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Provider Name | JONAE CUNNINGHAM LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/10/2015
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 6601 S 70TH ST
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City | LINCOLN
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State | NE
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Zip | 68516-3602
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Country | US
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Telephone | 402-401-7560
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Fax |
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Provider Business Mailing Address
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Address Line | 5621 BUFFALO CIR
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City | LINCOLN
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State | NE
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Zip | 68516-2018
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Country | US
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Telephone | 620-640-9154
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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 | 2628
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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 | 1998
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 8533
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License Number State | KS
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