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General NPI Number Information
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NPI Number | 1104623669
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Entity Type | Individual
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Provider Name | LOUIS JAMES KIEFER
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Gender | Male
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1973 MORNINGSIDE RD APT 119
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City | FREMONT
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State | NE
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Zip | 68025-8937
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Country | US
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Telephone | 402-816-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 1777 COUNTY ROAD 23
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City | NICKERSON
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State | NE
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Zip | 68044-1715
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Country | US
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Telephone | 402-672-0673
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 770534
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License Number State | NE
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