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General NPI Number Information
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NPI Number | 1033047550
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Entity Type | Organization
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Legal Business Name | LYNN'S WELLNESS CENTER LLC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 4640 N 83RD AVENUE CIR
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City | OMAHA
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State | NE
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Zip | 68134-3212
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Country | US
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Telephone | 402-990-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 4640 N 83RD AVENUE CIR
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City | OMAHA
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State | NE
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Zip | 68134-3212
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Country | US
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Telephone | 402-990-8585
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WENDESONGDE NIKIEMA
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Credential |
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Telephone | 402-990-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #6
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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 |
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