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General NPI Number Information
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NPI Number | 1730840778
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Entity Type | Organization
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Legal Business Name | TOGETHER CLINIC LLC
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 7636 S 78TH ST
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City | LINCOLN
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State | NE
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Zip | 68516-4023
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Country | US
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Telephone | 816-666-4201
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6832
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City | LINCOLN
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State | NE
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Zip | 68506-0832
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Country | US
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Telephone | 800-619-6990
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KELSEY LYNN DAUGHERTY
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Credential | DNP
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Telephone | 800-618-6990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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