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General NPI Number Information
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NPI Number | 1265397137
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Entity Type | Individual
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Provider Name | LANDYN ELAINE SMITH
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Gender | Female
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 4433 S 70TH ST STE 200
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City | LINCOLN
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State | NE
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Zip | 68516-4275
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Country | US
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Telephone | 402-471-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 317 S 12TH ST
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City | GENEVA
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State | NE
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Zip | 68361-2618
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Country | US
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Telephone | 402-729-3306
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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