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General NPI Number Information
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NPI Number | 1598475451
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Entity Type | Organization
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Legal Business Name | CHRISTINA BROEKEMEIER LIMHP LLC
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 1406 FORT CROOK RD S STE 401
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City | BELLEVUE
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State | NE
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Zip | 68005-2980
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Country | US
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Telephone | 402-350-1968
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Fax | 402-292-0144
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Provider Business Mailing Address
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Address Line | 1406 FORT CROOK RD S STE 401
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City | BELLEVUE
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State | NE
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Zip | 68005-2980
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Country | US
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Telephone | 402-350-1968
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Fax | 402-292-0144
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH PROVIDER
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Name | MRS. CHRISTINA BROEKEMEIER
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Credential | LIMHP
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Telephone | 402-350-1968
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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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