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General NPI Number Information
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NPI Number | 1326869538
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Entity Type | Individual
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Provider Name | DENNIS ACKER
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Gender | Male
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 611 N. ADAMS STREET, GRAND ISLAND, NE, USA
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City | GRAND ISLAND
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State | NE
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Zip | 68801
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Country | US
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Telephone | 720-670-2924
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Fax |
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Provider Business Mailing Address
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Address Line | 611 N ADAMS ST
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City | GRAND ISLAND
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State | NE
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Zip | 68801-4155
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Country | US
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Telephone | 720-670-2924
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374700000X
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Taxonomy Name | Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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