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General NPI Number Information
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NPI Number | 1851116412
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Entity Type | Individual
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Provider Name | ALYSSA COBIE-NUSS TLMHC
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Gender | Female
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 600 N PINE ST.
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City | WEST UNION
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State | IA
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Zip | 52175
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Country | US
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Telephone | 563-422-3851
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Fax |
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Provider Business Mailing Address
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Address Line | 213 E MAIN ST
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City | ANAMOSA
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State | IA
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Zip | 52205-5701
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Country | US
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Telephone | 319-224-0722
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Fax | 877-728-2951
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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 | 127799
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License Number State | IA
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