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General NPI Number Information
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NPI Number | 1851742506
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Entity Type | Individual
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Provider Name | CLARA JEAN FYNBU EGGERT APRN
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Gender | Female
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 301 S 70TH ST STE 230
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City | LINCOLN
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State | NE
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Zip | 68510-2469
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Country | US
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Telephone | 402-656-6644
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Fax |
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Provider Business Mailing Address
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Address Line | 1430 BUCKINGHAM DR
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City | LINCOLN
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State | NE
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Zip | 68506-1775
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Country | US
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Telephone | 913-306-4368
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 112038
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 112038
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License Number State | NE
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