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General NPI Number Information
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NPI Number | 1225923790
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Entity Type | Individual
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Provider Name | ANINA KOSTMAN
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Gender | Female
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 42238 HIGHWAY 30
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City | COZAD
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State | NE
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Zip | 69130-4308
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Country | US
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Telephone | 308-325-1464
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Fax |
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Provider Business Mailing Address
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Address Line | 401 E 8TH ST
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City | COZAD
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State | NE
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Zip | 69130-1919
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Country | US
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Telephone | 308-325-1464
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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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