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NPI 1881112506

NPI 1881112506 : CHANTEL EBERLE LIMHP : BELLEVUE, NE

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General NPI Number Information
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    NPI Number           |    1881112506
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    Entity Type          |    Individual 
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    Provider Name        |    CHANTEL EBERLE LIMHP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/01/2017
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    Last Update Date     |    02/07/2023
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Provider Practice Location Address
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    Address Line         |    1309 HARLAN DR STE 102 
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    City                 |    BELLEVUE
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    State                |    NE
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    Zip                  |    68005-6604
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    Country              |    US
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    Telephone            |    402-215-9998
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    Fax                  |    402-991-7631
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Provider Business Mailing Address
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    Address Line         |    3980 S 150TH PLZ 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68144-5538
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    Country              |    US
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    Telephone            |    402-215-9998
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    Fax                  |    402-991-7631
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    5063
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    License Number State |    NE
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    2001
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    License Number State |    NE
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Taxonomy #3
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    10724
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    License Number State |    NE
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