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General NPI Number Information
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NPI Number | 1801346762
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Entity Type | Individual
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Provider Name | BETTE ODELL LMHP
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Gender | Female
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Dates
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Enumeration Date | 10/04/2016
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 221 E 3RD ST
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City | ALLIANCE
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State | NE
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Zip | 69301-3825
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Country | US
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Telephone | 973-646-4524
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 391
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City | ALLIANCE
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State | NE
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Zip | 69301-0391
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Country | US
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Telephone | 973-646-4524
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Fax | 308-761-3990
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7099
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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 | 11005
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License Number State | NE
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