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General NPI Number Information
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NPI Number | 1124919865
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Entity Type | Organization
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Legal Business Name | JEAN WHATLEY'S ALLIANCE
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 4611 S 96TH ST
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City | OMAHA
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State | NE
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Zip | 68127-1202
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Country | US
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Telephone | 402-203-5156
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Fax | 531-242-4433
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Provider Business Mailing Address
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Address Line | 4611 S 96TH ST
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City | OMAHA
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State | NE
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Zip | 68127-1202
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Country | US
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Telephone | 402-203-5156
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Fax | 531-242-4433
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Authorized Official
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Title or Position | OWNER
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Name | MS. MICHELLE ALEXANDER
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Credential |
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Telephone | 402-203-5156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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