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General NPI Number Information
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NPI Number | 1275618753
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Entity Type | Organization
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Legal Business Name | TABITHA, INC.
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 4720 RANDOLPH STREET
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City | LINCOLN
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State | NE
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Zip | 68510-3741
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Country | US
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Telephone | 402-420-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 4720 RANDOLPH ST
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City | LINCOLN
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State | NE
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Zip | 68510-3741
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR OF FINANCE
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Name | RENAE ENDICOTT
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Credential |
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Telephone | 402-484-9711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | HOSPICE 15
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | HOSPICE15
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License Number State | NE
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