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General NPI Number Information
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NPI Number | 1376405696
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Entity Type | Individual
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Provider Name | MAKALA MATHIS D.C.
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Gender | Female
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 102 W US HIGHWAY 20 STE C
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City | STUART
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State | NE
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Zip | 68780-5838
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Country | US
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Telephone | 402-340-9439
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Fax |
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Provider Business Mailing Address
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Address Line | 104 W 7TH ST
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City | STUART
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State | NE
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Zip | 68780-1765
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Country | US
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Telephone | 402-340-9439
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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 | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 2235
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License Number State | NE
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