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General NPI Number Information
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NPI Number | 1710090568
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Entity Type | Individual
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Provider Name | LOUISE KURDYS JEFFREY PHD
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 555 FORTUNE DR
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City | PAPILLION
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State | NE
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Zip | 68046-3421
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Country | US
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Telephone | 402-980-2068
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Fax | 402-504-6429
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Provider Business Mailing Address
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Address Line | 535 FORTUNE DRIVE SUITE 150
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City | PAPILLION
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State | NE
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Zip | 68046-3421
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Country | US
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Telephone | 402-980-2068
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Fax | 402-504-6429
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 227
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 227
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License Number State | NE
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