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General NPI Number Information
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NPI Number | 1578486742
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Entity Type | Individual
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Provider Name | JENNIFER BORER APRN-PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 4505 N 91ST ST
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City | OMAHA
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State | NE
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Zip | 68134-4031
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Country | US
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Telephone | 402-215-5623
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Fax |
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Provider Business Mailing Address
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Address Line | 7101 NEWPORT AVE
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City | OMAHA
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State | NE
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Zip | 68152-2164
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 117390
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 80054
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License Number State | NE
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