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General NPI Number Information
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NPI Number | 1962268037
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Entity Type | Organization
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Legal Business Name | OLIVA COUNSELING
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 301 S 70TH ST
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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 | 312-502-5899
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Fax | 402-702-1531
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Provider Business Mailing Address
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Address Line | 1716 OTOE ST
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City | LINCOLN
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State | NE
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Zip | 68502-4657
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Country | US
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Telephone | 312-502-5899
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | HEIDI MARIE STURDY OLIVA
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Credential | LIMHP
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Telephone | 312-502-5899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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