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General NPI Number Information
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NPI Number | 1760876593
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Entity Type | Organization
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Legal Business Name | THE WELLBEING INITIATIVE, LLC
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 08/25/2015
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Provider Practice Location Address
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Address Line | 300 S 13TH ST
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City | LINCOLN
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State | NE
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Zip | 68508-2501
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Country | US
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Telephone | 402-480-4191
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Fax |
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Provider Business Mailing Address
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Address Line | 221 SUN VALLEY BLVD SUITE G
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City | LINCOLN
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State | NE
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Zip | 68528-1576
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Country | US
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Telephone | 402-416-5830
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Fax |
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Authorized Official
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Title or Position | OFFICER/THERAPIST
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Name | SCOTT J SWAGGER
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Credential | MS
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Telephone | 402-480-4191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 377
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License Number State | NE
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