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General NPI Number Information
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NPI Number | 1710067327
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Entity Type | Individual
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Provider Name | MARTHA HOFFMAN GOEDERT CNM. FNP, PHD,FACNM
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 6288 GLENWOOD RD
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City | OMAHA
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State | NE
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Zip | 68132-1854
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Country | US
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Telephone | 402-990-5250
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Fax |
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Provider Business Mailing Address
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Address Line | 6288 GLENWOOD RD
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City | OMAHA
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State | NE
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Zip | 68132-1854
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Country | US
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Telephone | 402-990-5250
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 51363
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 110117
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 120006
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60031352
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License Number State | WA
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