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General NPI Number Information
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NPI Number | 1174665871
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Entity Type | Individual
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Provider Name | MARY T LUEBBERT RD, LMNT
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 1600 S 48TH ST
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City | LINCOLN
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State | NE
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Zip | 68506-1299
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Country | US
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Telephone | 402-481-8195
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Fax | 402-481-6338
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Provider Business Mailing Address
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Address Line | 1600 S 48TH ST
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City | LINCOLN
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State | NE
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Zip | 68506-1299
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Country | US
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Telephone | 402-481-6305
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Fax | 402-481-6338
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 498
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 811273
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License Number State | NE
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