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General NPI Number Information
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NPI Number | 1588449938
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Entity Type | Individual
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Provider Name | CORTNEY KAY CLOSMAN LPN-C
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Gender | Female
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 601 MCDONALD RD
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City | NORTH PLATTE
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State | NE
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Zip | 69101-5999
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Country | US
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Telephone | 308-535-7140
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Fax | 308-535-5368
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Provider Business Mailing Address
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Address Line | 21432 W STATE FARM RD
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City | HERSHEY
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State | NE
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Zip | 69143-4364
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Country | US
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Telephone | 402-517-6116
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 25459
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License Number State | NE
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