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General NPI Number Information
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NPI Number | 1437005428
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Entity Type | Organization
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Legal Business Name | HEARTLAND AUDIOLOGY, LLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 1900 E MILITARY AVE STE 216
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City | FREMONT
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State | NE
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Zip | 68025-5433
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Country | US
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Telephone | 402-459-2530
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Fax | 402-459-2533
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Provider Business Mailing Address
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Address Line | 1900 E MILITARY AVE STE 216
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City | FREMONT
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State | NE
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Zip | 68025-5433
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Country | US
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Telephone | 402-459-2530
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Fax | 402-459-2533
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Authorized Official
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Title or Position | OWNER
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Name | LACI NAMKEN
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Credential | AUD
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Telephone | 402-459-2530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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