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NPI 1205624244

NPI 1205624244 : BELINDA SUE SMITH CNA/ MED AIDE : BEATRICE, NE

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General NPI Number Information
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    NPI Number           |    1205624244
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    Entity Type          |    Individual 
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    Provider Name        |    BELINDA SUE SMITH CNA/ MED AIDE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/29/2025
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    Last Update Date     |    04/29/2025
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Provider Practice Location Address
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    Address Line         |    1005 MERIWETHER ST 
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    City                 |    BEATRICE
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    State                |    NE
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    Zip                  |    68310-3568
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    Country              |    US
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    Telephone            |    402-806-5046
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    724 CENTRAL AVE 
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    City                 |    NEBRASKA CITY
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    State                |    NE
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    Zip                  |    68410-2451
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    Country              |    US
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    Telephone            |    308-249-0718
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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        |    372500000X
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    Taxonomy Name        |    Chore Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    NE
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Taxonomy #3
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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