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NPI 1770392219

NPI 1770392219 : LOUIE LAWRENCE PASCARELLA : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1770392219
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    Entity Type          |    Individual 
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    Provider Name        |    LOUIE LAWRENCE PASCARELLA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/30/2024
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    Last Update Date     |    12/30/2024
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Provider Practice Location Address
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    Address Line         |    4435 O ST STE 100 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68510-1864
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    Country              |    US
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    Telephone            |    402-937-7000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    241 FAIRFIELD ST 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68521-2728
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    Country              |    US
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    Telephone            |    531-324-0508
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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        |    372500000X
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    Taxonomy Name        |    Chore Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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