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General NPI Number Information
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NPI Number | 1255137972
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Entity Type | Individual
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Provider Name | HALWO A SHIRE
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Gender | Female
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Dates
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Enumeration Date | 02/22/2025
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Last Update Date | 02/22/2025
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Provider Practice Location Address
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Address Line | 200 E 39TH ST APT 116
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City | SOUTH SIOUX CITY
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State | NE
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Zip | 68776-3680
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Country | US
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Telephone | 402-919-9049
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Fax | 402-919-9049
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Provider Business Mailing Address
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Address Line | 200 E 39TH ST APT 116
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City | SOUTH SIOUX CITY
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State | NE
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Zip | 68776-3680
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Country | US
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Telephone | 402-919-9049
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Fax | 402-919-9049
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | NE
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