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General NPI Number Information
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NPI Number | 1134059355
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Entity Type | Individual
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Provider Name | LANITA KNOKE RN
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Gender | Female
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Dates
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Enumeration Date | 05/20/2026
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Last Update Date | 05/20/2026
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Provider Practice Location Address
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Address Line | 17010 WRIGHT PLZ STE 145
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City | OMAHA
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State | NE
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Zip | 68130-4659
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Country | US
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Telephone | 402-670-9097
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Fax |
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Provider Business Mailing Address
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Address Line | 208 AUGUSTA DR
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City | TREYNOR
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State | IA
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Zip | 51575-7366
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Country | US
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Telephone | 402-670-9097
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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 | 163WN1003X
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Taxonomy Name | Nutrition Support Registered Nurse
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License Number | 075872
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License Number State | IA
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