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General NPI Number Information
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NPI Number | 1982579371
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Entity Type | Organization
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Legal Business Name | GREAT PLAINS HOLISTIC HEALTH
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 300 W BROADWAY STE 37
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-9054
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Country | US
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Telephone | 402-251-3600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 646
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City | BELLEVUE
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State | NE
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Zip | 68005-0646
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Country | US
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Telephone | 402-251-3600
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MATTHEW M SMITH
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Credential |
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Telephone | 402-251-3600
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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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