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General NPI Number Information
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NPI Number | 1154233070
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Entity Type | Individual
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Provider Name | KYLE A WEALAND
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Gender | Male
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 4213 O ST
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City | LINCOLN
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State | NE
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Zip | 68510-1751
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Country | US
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Telephone | 402-419-4850
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Fax |
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Provider Business Mailing Address
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Address Line | 4629 LOWELL AVE APT 2
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City | LINCOLN
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State | NE
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Zip | 68506-4931
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Country | US
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Telephone | 402-817-9136
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | NE
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