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NPI 1457639296

NPI 1457639296 : ANDREA NICOLE RABE APRN : KEARNEY, NE

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General NPI Number Information
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    NPI Number           |    1457639296
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREA NICOLE RABE APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/27/2011
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    Last Update Date     |    07/27/2011
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Provider Practice Location Address
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    Address Line         |    4503 2ND AVE STE. 209
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    City                 |    KEARNEY
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    State                |    NE
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    Zip                  |    68847-2432
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    Country              |    US
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    Telephone            |    308-234-9140
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    Fax                  |    308-236-5814
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Provider Business Mailing Address
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    Address Line         |    4503 2ND AVE STE. 209 P.O. BOX 338
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    City                 |    KEARNEY
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    State                |    NE
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    Zip                  |    68847-2432
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    Country              |    US
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    Telephone            |    308-234-9140
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    Fax                  |    308-236-5814
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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        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    111093
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    License Number State |    NE
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