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General NPI Number Information
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NPI Number | 1487457206
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Entity Type | Organization
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Legal Business Name | K2 MEDICAL CLINICS, LLC
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 4546 S 86TH ST STE B
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City | LINCOLN
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State | NE
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Zip | 68526-9252
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Country | US
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Telephone | 402-770-3110
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Fax |
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Provider Business Mailing Address
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Address Line | 4546 S 86TH ST STE B
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City | LINCOLN
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State | NE
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Zip | 68526-9252
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Country | US
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Telephone | 402-770-3110
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Fax |
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | JASON DEAN HOWE
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Credential | PA
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Telephone | 402-770-3110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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