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General NPI Number Information
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NPI Number | 1508740309
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Entity Type | Organization
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Legal Business Name | DOUGLAS COUNTY NEBRASKA
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1111 S 41ST ST
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City | OMAHA
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State | NE
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Zip | 68105-1803
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Country | US
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Telephone | 402-444-7471
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Fax | 402-546-0709
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Provider Business Mailing Address
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Address Line | 1111 S 41ST ST
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City | OMAHA
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State | NE
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Zip | 68105-1803
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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 | CLINIC COORDINATOR
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Name | KELLY MCCAULEY
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Credential |
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Telephone | 402-444-7312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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