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General NPI Number Information
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NPI Number | 1952441735
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Entity Type | Individual
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Provider Name | JENNIFER SUKUP LIMHP, LADC
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 516 N DEWEY ST STE 1
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City | NORTH PLATTE
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State | NE
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Zip | 69101-3928
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Country | US
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Telephone | 308-660-3257
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Fax | 800-616-0783
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Provider Business Mailing Address
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Address Line | 516 N DEWEY ST STE 1
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City | NORTH PLATTE
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State | NE
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Zip | 69101-3928
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Country | US
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Telephone | 308-660-3257
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Fax | 800-616-0783
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 926
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2734
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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 | 797
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License Number State | NE
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