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General NPI Number Information
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NPI Number | 1972673119
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Entity Type | Individual
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Provider Name | NOELLE C PHILLIPS LICSW, LIMHP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 20324 VETERANS DR STE 104
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City | ELKHORN
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State | NE
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Zip | 68022-3552
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Country | US
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Telephone | 402-933-5700
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Fax | 402-933-9998
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Provider Business Mailing Address
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Address Line | 20324 VETERANS DR STE 104
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City | ELKHORN
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State | NE
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Zip | 68022-3552
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Country | US
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Telephone | 402-933-5700
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Fax | 402-829-8513
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2115
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1856
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License Number State | SD
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