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General NPI Number Information
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NPI Number | 1033556113
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Entity Type | Individual
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Provider Name | BROOKE NICOLE BOGGS RN, APRN
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Gender | Female
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Dates
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Enumeration Date | 05/29/2013
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 403 LEXINGTON CIR
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City | GRAND ISLAND
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State | NE
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Zip | 68803-9728
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Country | US
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Telephone | 308-227-6119
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Fax | 308-888-0018
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Provider Business Mailing Address
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Address Line | 403 LEXINGTON CIR
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City | GRAND ISLAND
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State | NE
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Zip | 68803-9728
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Country | US
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Telephone | 308-530-6569
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Fax | 308-888-0018
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 64593
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 111996
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License Number State | NE
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