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General NPI Number Information
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NPI Number | 1245164474
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Entity Type | Individual
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Provider Name | TIMEAKI LASHANTE ALLEN
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 7714 N 113TH AVENUE CIR
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City | OMAHA
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State | NE
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Zip | 68142-1140
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Country | US
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Telephone | 531-222-7435
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Fax |
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Provider Business Mailing Address
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Address Line | 7714 N 113TH AVENUE CIR
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City | OMAHA
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State | NE
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Zip | 68142-1140
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Country | US
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Telephone | 531-222-7435
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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 | NE
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State | NE
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