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General NPI Number Information
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NPI Number | 1588324768
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Entity Type | Individual
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Provider Name | DANIEL MEINKE
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Gender | Male
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Dates
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Enumeration Date | 12/29/2021
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 2300 S 16TH ST
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City | LINCOLN
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State | NE
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Zip | 68502-3704
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Country | US
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Telephone | 402-481-4456
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 W PERSHING RD
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City | LINCOLN
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State | NE
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Zip | 68502-4844
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Country | US
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Telephone | 402-641-6540
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 113987
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License Number State | NE
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