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General NPI Number Information
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NPI Number | 1013820497
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Entity Type | Individual
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Provider Name | MRS. LOGAN TAYLOR KERBY
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Gender | Female
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 14905 Q ST
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City | OMAHA
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State | NE
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Zip | 68137-2512
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Country | US
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Telephone | 402-715-8268
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Fax |
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Provider Business Mailing Address
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Address Line | 8472 OHERN ST
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City | OMAHA
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State | NE
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Zip | 68127-2620
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Country | US
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Telephone | 531-999-0090
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | NULL
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