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General NPI Number Information
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NPI Number | 1477374130
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Entity Type | Individual
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Provider Name | SAVANNAH VAN WINKLE RN
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Gender | Female
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 4101 WOOLWORTH AVE
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City | OMAHA
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State | NE
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Zip | 68105-1850
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Country | US
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Telephone | 402-995-4947
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Fax |
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Provider Business Mailing Address
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Address Line | 2907 AVENUE I
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-0736
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Country | US
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Telephone |
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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 | 163WG0100X
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Taxonomy Name | Gastroenterology Registered Nurse
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License Number | 147392
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License Number State | IA
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