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General NPI Number Information
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NPI Number | 1154874329
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Entity Type | Individual
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Provider Name | JESSICA ALLISON LEVY APRN
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Gender | Female
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Dates
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Enumeration Date | 07/25/2016
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Last Update Date | 12/02/2019
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Provider Practice Location Address
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Address Line | 6825 S 27TH ST STE 201
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City | LINCOLN
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State | NE
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Zip | 68512-4872
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Country | US
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Telephone | 402-434-5235
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Fax | 402-489-2137
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Provider Business Mailing Address
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Address Line | 6825 S 27TH ST STE 201
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City | LINCOLN
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State | NE
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Zip | 68512-4872
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Country | US
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Telephone | 402-434-5235
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Fax | 402-489-2137
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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 | 112067
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN290045
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License Number State | GA
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