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General NPI Number Information
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NPI Number | 1578383295
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Entity Type | Organization
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Legal Business Name | WELLNESS EDGE
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 203 N 180TH ST
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City | OMAHA
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State | NE
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Zip | 68118-3560
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Country | US
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Telephone | 402-802-4226
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Fax |
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Provider Business Mailing Address
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Address Line | 203 N 180TH ST STE 104
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City | OMAHA
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State | NE
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Zip | 68118-3565
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Country | US
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Telephone | 402-281-2022
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA PHILLIP VOGEL
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Credential | APRN
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Telephone | 402-802-4226
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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 |
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License Number State |
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