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General NPI Number Information
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NPI Number | 1003621939
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Entity Type | Individual
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Provider Name | SEIFELDIN MOHAMED ELHASSAN ABDALLAH BSC
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Gender | Male
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 2610 W M CT
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City | LINCOLN
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State | NE
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Zip | 68522-1006
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Country | US
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Telephone | 402-325-8555
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Fax | 402-325-8575
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Provider Business Mailing Address
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Address Line | 5831 N 23RD ST APT 101
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City | LINCOLN
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State | NE
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Zip | 68521-1094
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Country | US
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Telephone | 402-610-3578
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Fax |
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | H13240518
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | H13240518
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License Number State | NE
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