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NPI 1114732526

NPI 1114732526 : AKUA ADANI : BELLEVUE, NE

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General NPI Number Information
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    NPI Number           |    1114732526
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    Entity Type          |    Individual 
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    Provider Name        |    AKUA ADANI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/12/2025
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    Last Update Date     |    02/12/2025
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Provider Practice Location Address
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    Address Line         |    13413 S 33RD ST 
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    City                 |    BELLEVUE
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    State                |    NE
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    Zip                  |    68123-2371
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    Country              |    US
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    Telephone            |    402-594-6954
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1813 N 73RD ST 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68114-1905
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    Country              |    US
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    Telephone            |    402-557-8583
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    Fax                  |    402-991-5070
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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        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    NE
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