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General NPI Number Information
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NPI Number | 1497811665
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Entity Type | Organization
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Legal Business Name | LIFEARTS INTEGRATED HEALTH CENTER PC
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 306 N 7TH ST
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City | PLATTSMOUTH
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State | NE
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Zip | 68048-1310
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Country | US
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Telephone | 402-296-2196
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Fax | 402-296-2197
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Provider Business Mailing Address
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Address Line | 306 N 7TH ST
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City | PLATTSMOUTH
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State | NE
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Zip | 68048-1310
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Country | US
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Telephone | 402-296-2196
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Fax | 402-296-2197
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULIE M HOWARD
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Credential | DC, FNP-BC
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Telephone | 402-296-2196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 111219
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 1365
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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