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NPI 1366548570

NPI 1366548570 : WENDE L HECKERT APRN : NORFOLK, NE

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General NPI Number Information
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    NPI Number           |    1366548570
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    Entity Type          |    Individual 
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    Provider Name        |    WENDE L HECKERT APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/15/2006
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    Last Update Date     |    02/23/2015
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Provider Practice Location Address
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    Address Line         |    109 N 29TH ST SUITE 6
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    City                 |    NORFOLK
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    State                |    NE
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    Zip                  |    68701-3251
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    Country              |    US
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    Telephone            |    402-371-0263
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    Fax                  |    402-379-2285
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Provider Business Mailing Address
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    Address Line         |    109 N 29TH ST SUITE 6
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    City                 |    NORFOLK
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    State                |    NE
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    Zip                  |    68701-3251
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    Country              |    US
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    Telephone            |    402-371-0263
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    Fax                  |    402-379-2285
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    110268
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    License Number State |    NE
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