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General NPI Number Information
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NPI Number | 1801691845
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Entity Type | Individual
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Provider Name | QUIXUANO MILLS
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Gender | Male
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 333 W NORFOLK AVE STE 201
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City | NORFOLK
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State | NE
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Zip | 68701-5221
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Country | US
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Telephone | 402-379-2030
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Fax | 402-379-3933
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Provider Business Mailing Address
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Address Line | 4433 S 70TH ST STE 200
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City | LINCOLN
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State | NE
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Zip | 68516-4275
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Country | US
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Telephone | 402-471-6400
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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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 | 14285
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License Number State | NE
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