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General NPI Number Information
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NPI Number | 1235947706
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Entity Type | Individual
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Provider Name | LINDSEY M TIPPERY RN
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Gender | Female
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 9701 PORTAL RD
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City | LA VISTA
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State | NE
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Zip | 68128-3150
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Country | US
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Telephone | 402-537-7000
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Fax | 402-537-7095
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Provider Business Mailing Address
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Address Line | 9701 PORTAL RD
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City | LA VISTA
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State | NE
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Zip | 68128-3150
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Country | US
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Telephone | 402-537-7000
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Fax | 402-537-7095
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 66473
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 66473
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 66473
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License Number State | NE
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