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General NPI Number Information
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NPI Number | 1538923800
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Entity Type | Organization
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Legal Business Name | PRESENCE PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 10247 JULIA ISLES AVE
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City | OXFORD
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State | FL
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Zip | 34484-3809
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Country | US
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Telephone | 402-430-0209
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Fax |
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Provider Business Mailing Address
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Address Line | 1919 S 40TH ST STE 201
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City | LINCOLN
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State | NE
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Zip | 68506-5248
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Country | US
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Telephone | 402-430-0209
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Fax |
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Authorized Official
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Title or Position | DIRECT OWNER
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Name | ASSEL SAPAROVA
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Credential |
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Telephone | 402-430-0209
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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 |
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License Number State |
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