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General NPI Number Information
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NPI Number | 1851672067
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Entity Type | Individual
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Provider Name | TAMMY J BADER APRN
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Gender | Female
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 515 N 162ND AVE STE 300
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City | OMAHA
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State | NE
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Zip | 68118-2540
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Country | US
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Telephone | 402-354-1200
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Fax | 402-354-1205
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Provider Business Mailing Address
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Address Line | 515 N 162ND AVE STE 300
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City | OMAHA
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State | NE
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Zip | 68118-2540
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Country | US
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Telephone | 402-354-1200
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Fax | 402-354-1205
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 0000875
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | L130515
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 111270
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | C-APN.N0000875-C-N
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 111270
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License Number State | NE
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