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General NPI Number Information
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NPI Number | 1336489178
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Entity Type | Individual
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Provider Name | GERMAINE LOU BOONE RN, BSN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 9202 W DODGE RD STE 101 CHILDREN'S PHYSICIANS - EMBASSY PARK
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City | OMAHA
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State | NE
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Zip | 68114-3318
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Country | US
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Telephone | 402-955-7500
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Fax | 402-955-7524
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Provider Business Mailing Address
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Address Line | 8401 W DODGE RD STE 280 CHILDREN'S PHYSICIANS
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City | OMAHA
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State | NE
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Zip | 68114-3493
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Country | US
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Telephone | 402-955-6877
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 37625
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License Number State | NE
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