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General NPI Number Information
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NPI Number | 1194522284
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Entity Type | Individual
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Provider Name | JUDYTH CARSTEN
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Gender |
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1215 W PHILLIP AVE
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City | NORFOLK
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State | NE
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Zip | 68701-4922
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Country | US
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Telephone | 402-750-6265
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 565
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City | NORFOLK
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State | NE
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Zip | 68702-0565
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Country | US
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Telephone | 402-750-6265
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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