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General NPI Number Information
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NPI Number | 1568371144
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Entity Type | Individual
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Provider Name | JESSICA KNOELL PLMHP #15104
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Gender | Female
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 13121 COUNTY ROAD 16
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City | BLAIR
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State | NE
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Zip | 68008-5674
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Country | US
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Telephone | 402-426-9020
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Fax |
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Provider Business Mailing Address
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Address Line | 4151 W COUNTY RD S
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City | FREMONT
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State | NE
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Zip | 68025-9068
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Country | US
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Telephone | 402-720-8058
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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 |
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License Number State | NE
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