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NPI 1144745761

NPI 1144745761 : HEATHER TALBOTT APRN : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1144745761
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER TALBOTT APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2017
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    Last Update Date     |    08/03/2022
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Provider Practice Location Address
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    Address Line         |    1600 WINDHOEK DR 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68512-1272
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    Country              |    US
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    Telephone            |    531-248-3030
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    Fax                  |    531-254-5983
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Provider Business Mailing Address
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    Address Line         |    5408 S 31ST STREET CT 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68516-1639
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    Country              |    US
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    Telephone            |    402-429-4661
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    112297
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    License Number State |    NE
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