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General NPI Number Information
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NPI Number | 1598891624
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Entity Type | Individual
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Provider Name | GORDY J WHITCOMB LMHP LADAC
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Gender | Male
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Dates
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Enumeration Date | 02/25/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1835 E MILITARY AVE SUITE 111
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City | FREMONT
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State | NE
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Zip | 68025-5477
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Country | US
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Telephone | 402-721-0245
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Fax |
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Provider Business Mailing Address
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Address Line | 1481 COUNTY ROAD 29
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City | TEKAMAH
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State | NE
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Zip | 68061-5030
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Country | US
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Telephone | 402-374-0245
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 137
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 436
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License Number State | NE
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