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General NPI Number Information
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NPI Number | 1568276871
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Entity Type | Individual
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Provider Name | LILLY GRACE IHRKE
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 5801 HIDCOTE DR STE 300
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City | LINCOLN
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State | NE
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Zip | 68516-5569
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Country | US
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Telephone | 402-665-4687
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Fax |
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Provider Business Mailing Address
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Address Line | 519 N 5TH ST
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City | SEWARD
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State | NE
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Zip | 68434-1829
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Country | US
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Telephone | 218-431-1151
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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