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General NPI Number Information
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NPI Number | 1306724943
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Entity Type | Individual
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Provider Name | KRISTIN ROSE WEINAND EDS
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Gender | Female
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 20650 GLENN ST
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City | ELKHORN
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State | NE
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Zip | 68022-2324
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Country | US
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Telephone | 402-289-2579
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Fax |
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Provider Business Mailing Address
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Address Line | 19404 RUGGLES CIR
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City | ELKHORN
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State | NE
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Zip | 68022-5192
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Country | US
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Telephone | 402-219-2876
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 20230016638
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License Number State | NE
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