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NPI 1225952013

NPI 1225952013 : PAW GAY : NORFOLK, NE

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General NPI Number Information
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    NPI Number           |    1225952013
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    Entity Type          |    Individual 
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    Provider Name        |    PAW GAY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/05/2026
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    Last Update Date     |    08/05/2026
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Provider Practice Location Address
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    Address Line         |    3207 S 12TH ST TRLR 68 
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    City                 |    NORFOLK
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    State                |    NE
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    Zip                  |    68701-9310
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    Country              |    US
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    Telephone            |    402-992-6758
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4911 N 64TH ST 
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    City                 |    OMAHA
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    State                |    NE
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    Zip                  |    68104-1908
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    Country              |    US
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    Telephone            |    531-495-7636
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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        |    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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