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General NPI Number Information
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NPI Number | 1659963577
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Entity Type | Individual
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Provider Name | DEXTER KRELL
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Gender | Male
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 2808 S 143RD PLZ
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City | OMAHA
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State | NE
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Zip | 68144-5611
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Country | US
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Telephone | 402-609-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1031 HIGH PLAINS RD
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City | LINCOLN
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State | NE
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Zip | 68512-2336
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 70045
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License Number State | NE
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