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General NPI Number Information
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NPI Number | 1588459697
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Entity Type | Organization
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Legal Business Name | KOMPUS AESTHETICS AND WELLNESS , L. L. C.
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 112 7TH AVE E
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City | BENKELMAN
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State | NE
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Zip | 69021-2170
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Country | US
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Telephone | 308-281-5127
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 452
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City | BENKELMAN
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State | NE
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Zip | 69021-0452
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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 | MANAGING MEMBER
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Name | ASHLEY AMBROSEK
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Credential | FNP-BC
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Telephone | 308-737-1554
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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 |
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License Number State |
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