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General NPI Number Information
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NPI Number | 1396453304
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Entity Type | Individual
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Provider Name | HALEY BRIANNE UHRICH PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 211 W 33RD ST
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City | KEARNEY
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State | NE
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Zip | 68845-3484
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Country | US
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Telephone | 308-865-2551
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 SHERMAN ST
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City | HOLDREGE
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State | NE
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Zip | 68949-1461
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Country | US
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Telephone | 308-999-9137
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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