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General NPI Number Information
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NPI Number | 1568970259
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Entity Type | Organization
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Legal Business Name | GASA THERAPY LLC
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 144 S 39TH ST
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City | OMAHA
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State | NE
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Zip | 68131-3049
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Country | US
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Telephone | 402-515-5281
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Fax | 308-832-4958
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Provider Business Mailing Address
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Address Line | 19995 PERRY RD
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-8467
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Country | US
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Telephone | 402-515-5281
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Fax | 308-832-4958
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Authorized Official
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Title or Position | OWNER THERAPIST
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Name | MISTY A. GASA
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Credential | LIMHP, CMSW
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Telephone | 402-515-5281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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