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General NPI Number Information
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NPI Number | 1821641044
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Entity Type | Organization
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Legal Business Name | TINA LILJEHORN, LCSW
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Dates
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Enumeration Date | 07/17/2019
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Last Update Date | 07/30/2019
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Provider Practice Location Address
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Address Line | 1240 N 10TH ST STE 2
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City | LINCOLN
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State | NE
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Zip | 68508-1125
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Country | US
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Telephone | 402-747-1412
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Fax |
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Provider Business Mailing Address
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Address Line | 1925 W APRICOT LN
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City | LINCOLN
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State | NE
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Zip | 68522-4423
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Country | US
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Telephone | 402-499-8793
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | TINA MARIE LILJEHORN
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Credential | CMSW, LCSW, LMHP
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Telephone | 402-499-8793
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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 |
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License Number State |
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