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General NPI Number Information
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NPI Number | 1710823521
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Entity Type | Individual
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Provider Name | MICAH ARZIE JAMES PRAUNER
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Gender | Male
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 611 VALLEY DR STE A
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City | WAYNE
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State | NE
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Zip | 68787-2277
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Country | US
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Telephone | 402-649-3059
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Fax | 402-649-3059
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Provider Business Mailing Address
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Address Line | 300 S 5TH ST
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City | BATTLE CREEK
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State | NE
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Zip | 68715-4463
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Country | US
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Telephone | 402-649-3059
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Fax | 402-649-3059
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | H14143555
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License Number State | NE
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