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General NPI Number Information
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NPI Number | 1568321669
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Entity Type | Individual
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Provider Name | MICKENNA BARANKEVICH APRN
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Gender | Female
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1101 S 70TH ST STE 203
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City | LINCOLN
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State | NE
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Zip | 68510-4293
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Country | US
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Telephone | 402-937-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 3133 S 42ND ST
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City | LINCOLN
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State | NE
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Zip | 68506-6224
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 116584
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License Number State | NE
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