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General NPI Number Information
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NPI Number | 1154128189
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Entity Type | Individual
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Provider Name | DESTANY SIMPSON
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Gender | Female
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 1305 HIGHWAY 6 34
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City | CAMBRIDGE
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State | NE
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Zip | 69022-6616
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Country | US
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Telephone | 308-697-3329
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Fax | 308-697-3278
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Provider Business Mailing Address
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Address Line | 903 W 3RD ST
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City | MC COOK
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State | NE
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Zip | 69001-3166
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Country | US
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Telephone | 308-340-6334
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 145316
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 145316
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 145316
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 145316
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 145316
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License Number State | NE
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Taxonomy #6
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | 145316
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License Number State | NE
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Taxonomy #7
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 145316
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License Number State | NE
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Taxonomy #8
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 145316
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License Number State | NE
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Taxonomy #9
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 145316
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License Number State | NE
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Taxonomy #10
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 145316
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License Number State | NE
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