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General NPI Number Information
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NPI Number | 1841710704
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Entity Type | Individual
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Provider Name | DAWYN ELIZABETH OTTO LIMHP, LMHP, LPC
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Gender | Female
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 1811 W 2ND ST STE 475
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City | GRAND ISLAND
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State | NE
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Zip | 68803-5472
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Country | US
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Telephone | 308-380-4655
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 W 2ND ST STE 475
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City | GRAND ISLAND
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State | NE
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Zip | 68803-5472
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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 | 11191
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License Number State | NE
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