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General NPI Number Information
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NPI Number | 1295014983
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Entity Type | Individual
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Provider Name | AMBERLACE A CITTA APRN NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/11/2011
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 4508 38TH ST STE 152
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City | COLUMBUS
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State | NE
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Zip | 68601-1668
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Country | US
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Telephone | 402-562-4720
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Fax | 402-562-4721
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Provider Business Mailing Address
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Address Line | 13940 265TH AVE
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City | COLUMBUS
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State | NE
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Zip | 68601-6205
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Country | US
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Telephone | 402-276-3518
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 111263
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License Number State | NE
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