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General NPI Number Information
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NPI Number | 1437965407
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Entity Type | Individual
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Provider Name | CHRISTINA PORTWOOD
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Gender | Female
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 865 WASHINGTON ST
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City | STERLING
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State | NE
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Zip | 68443-6074
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Country | US
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Telephone | 402-806-2011
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Fax |
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Provider Business Mailing Address
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Address Line | 965 S 27TH ST
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City | LINCOLN
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State | NE
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Zip | 68510-3140
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Country | US
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Telephone | 402-477-3505
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F10241055
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License Number State | NE
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