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General NPI Number Information
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NPI Number | 1316426794
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Entity Type | Organization
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Legal Business Name | ACTUAL IMPACT STAFFING & RECRUITMENT
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Dates
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Enumeration Date | 08/07/2018
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 2701 GRAND AVE TRLR 98
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City | KEARNEY
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State | NE
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Zip | 68847-0202
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Country | US
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Telephone | 308-529-0692
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 GRAND AVE TRLR 98
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City | KEARNEY
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State | NE
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Zip | 68847-0202
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Country | US
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Telephone | 308-529-0692
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACKIE GREEVER
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Credential |
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Telephone | 308-529-0692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 42371
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License Number State | NE
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