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General NPI Number Information
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NPI Number | 1578113130
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Entity Type | Organization
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Legal Business Name | BARBARA K CLINKENBEARD PC
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 4308 VICTORIA AVENUE
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City | BELLEVUE
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State | NE
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Zip | 68123
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Country | US
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Telephone | 402-804-2015
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Fax | 531-466-3101
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Provider Business Mailing Address
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Address Line | 4308 VICTORIA AVE
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City | BELLEVUE
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State | NE
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Zip | 68123-4183
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Country | US
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Telephone | 402-804-2015
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Fax | 531-466-3101
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Authorized Official
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Title or Position | PRESIDENT
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Name | BARBARA K CLINKENBEARD
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Credential | APRN
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Telephone | 402-804-2015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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