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General NPI Number Information
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NPI Number | 1659634400
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Entity Type | Individual
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Provider Name | BRITTNEY BOSTIC PA
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Gender | Female
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 14000 BOYS TOWN HOSPITAL RD
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City | BOYS TOWN
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State | NE
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Zip | 68010-7513
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Country | US
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Telephone | 531-355-6540
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Fax |
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Provider Business Mailing Address
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Address Line | 3315 N 128TH CIR
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City | OMAHA
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State | NE
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Zip | 68164-4235
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Country | US
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Telephone | 716-807-5722
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2041
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 127743
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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