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General NPI Number Information
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NPI Number | 1194911685
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Entity Type | Individual
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Provider Name | LORI ANNE HOGUE APRN
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Gender | Female
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/23/2015
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Provider Practice Location Address
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Address Line | 1130 N 204TH AVE
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City | ELKHORN
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State | NE
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Zip | 68022-1849
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Country | US
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Telephone | 402-289-3377
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Fax | 402-289-5443
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Provider Business Mailing Address
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Address Line | 450 E. 23RD ST. FREMONT HEALTH
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City | FREMONT
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State | NE
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Zip | 68025
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Country | US
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Telephone | 402-721-1610
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Fax | 402-727-3677
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 110868
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License Number State | NE
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