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General NPI Number Information
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NPI Number | 1851190631
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Entity Type | Individual
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Provider Name | WENDEPASDE SAWADOGO
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Gender | Male
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 11340 BLONDO ST
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City | OMAHA
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State | NE
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Zip | 68164-3815
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Country | US
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Telephone | 531-466-8528
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Fax |
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Provider Business Mailing Address
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Address Line | 1729 N 74TH ST
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City | OMAHA
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State | NE
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Zip | 68114-1805
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Country | US
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Telephone | 347-265-4400
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 80648
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License Number State | NE
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