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NPI 1639247059

NPI 1639247059 : ALICIA CALDWELL LIMHP : BELLEVUE, NE

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General NPI Number Information
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    NPI Number           |    1639247059
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    Entity Type          |    Individual 
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    Provider Name        |    ALICIA CALDWELL LIMHP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/01/2006
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    Last Update Date     |    03/19/2025
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Provider Practice Location Address
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    Address Line         |    505 CORNHUSKER RD # 105-108 
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    City                 |    BELLEVUE
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    State                |    NE
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    Zip                  |    68005-7913
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    Country              |    US
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    Telephone            |    402-612-7823
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 111622 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68111-5622
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    Country              |    US
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    Telephone            |    
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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       |    3116
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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       |    574
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    License Number State |    NE
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