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General NPI Number Information
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NPI Number | 1942661970
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Entity Type | Organization
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Legal Business Name | INDEPENDENT HOLISTIC OUTPATIENT PSYCHIATRY & EMPOWERMENT
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 301 S 70TH ST SUITE 355E
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City | LINCOLN
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State | NE
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Zip | 68510-2469
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Country | US
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Telephone | 402-200-9778
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Fax |
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Provider Business Mailing Address
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Address Line | 301 S 70TH ST SUITE 355E
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City | LINCOLN
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State | NE
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Zip | 68510-2469
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Country | US
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Telephone | 402-200-9778
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | MRS. ANGIE ALBERT
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Credential | APRN
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Telephone | 402-200-9778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 111792
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License Number State | NE
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