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General NPI Number Information
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NPI Number | 1023962255
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Entity Type | Organization
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Legal Business Name | NEBRASKA SLIM CLINIC LLC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 237 S 70TH ST STE 218
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City | LINCOLN
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State | NE
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Zip | 68510-2467
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Country | US
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Telephone | 402-858-9077
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Fax |
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Provider Business Mailing Address
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Address Line | 237 S 70TH ST STE 218
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City | LINCOLN
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State | NE
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Zip | 68510-2467
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Country | US
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Telephone | 402-858-9077
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRAD EWERTH
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Credential |
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Telephone | 402-525-4090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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